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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS 7 <br />TENANT <br />PROPERTY OWNER fir' <br />ELECTRICAL CONTRACTOR <br />LICENSE NO. <br />ADMINISTRATOR <br />DATE:' S �7 S710 / <br />FEE: <br />EXPIRATION DATE _,i////' c25 - /%U <br />PHONE NO. aj -G/13J <br />VALUE OF WORM; 3e,_ (do not include taxes) <br />(for commercia work" <br />USE OF BUILDING <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 show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK ,TO BE DONE: <br />SIGNED sri DATE <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />