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� ;. <br /> CITY OF EVERETT DATE: ��y �P� <br /> ELECIFICAL WIRING PERMIT APPLICATION FEE: <br /> JOB AOD�RESS / 8 � z �U /r c y- <br /> TENANT S�c}r� 1 ni, e v <br /> FROPERTY OWNER %2� c. � a.-„� �n •�Z, c. <br /> ELECTRICL�� CONTrtACTOR (/�, ,Z .�0 f !.- r.`t G�n �Z <br /> LICENSE �0. U�tr � T' i=G� /7'L M C EXPIRATION OATE /nL j8 y <br /> ADMINI57AATOR �7G����. �/.f�`�L,,,� r FNONE N0. ;{,�_-� ,�'�// <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work � <br /> USE OF BUILDING �C ; �c/ r., � � <br /> NOTt: WAC 296-46-140 requires that plans for eleccrlcal 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-aoproved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> ,. <br /> � ��'� hV�"� `�� rv� c. �. <br /> SIGNED���w�� yif�--�-,..,�-.-....-�� DATE y/y �� <br /> T <br /> riorEs ar�o ce��n+ENrs: <br /> 6/10/87 <br /> 192EH <br />