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CITY OF EVERETT <br />DATE: <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE:,_ <br />Jo <br />q H <br />En <br />9yyy <br />� <br />JOB ADDRESS <br />y z <br />y z <br />TENANT vi <br />omo <br />cca H <br />PROPERTY OWNER ti' ) <br />4y <br />ELECTRICAL CONTRACTOR _f•/r . <br />OH <br />H g <br />LICENSE NO. <br />EXPIRATION DATE <br />c)• cj <br />z H <br />y <br />ADMINISTRATOR <br />PHONE NO. <br />"y <br />VALUE OF WORK <br />(do not include taxes) <br />$ y <br />(for commercial work <br />USE OF BUILDING <br />zyCO3 <br />y0cn <br />NOTE: WAC 296-46-140 requires that <br />plans for electrical work at educational, <br />institutional or health care <br />facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State -approved plans <br />before a City of Everett permit <br />will be issued. <br />C 03 <br />WORK TO BE DONE: <br />v <br />left� <br />U*1 <br />SIGNED • 1 I/ <br />NOTES AND COMMENTS: <br />6/10/87 <br />192EH <br />l <br />DATE <br />