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� <br />CITY OF EVEFtETi <br />ELECTRICA� W7RING PERMIT APPLICATION <br />JOB AOORESS <br />TENANT <br />:• � - a- � � � Ra� <br />ELECTRICAL CONiRACTOR <br />LICENSE N0. <br />DATE: � l� /'J"1 <br />/ <br />FEE: <br />CCv 6�'�-G �F�✓ <br />%�0,/'�-� • <br />`�— EXPIRATION DATE '� <br />ADMINIS7RATOR () r1 � SZ }Jv�C 1 0 6� PHONE N0. ���—' 7/ U�� <br />VALUE OF WORK /�� � ido not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />[� <br />Sl �/� 5 j <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the .State of <br />Washington. Applicants with such jobs must snow the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />%,N s�a u� <br />� <br />�hSuLiNS /uw.✓JS <br />SIGNED : DATE b �6 � � <br />NOTES AND COMMENTS: <br />6/10/S7 <br />1928H <br />� <br />