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I' � I <br /> CITY OF EVERETT DATE: � �/C�t�� ,, � <br /> ELECTRICAL WIRING PEAMIT APPLICATION FEE: <br /> .�oe aooREss `I'�l Z '���K�'�� l�/� - <br /> TENANT � A I Z. L L'� PJL�1N �--�r�l �c, <br /> FROPERTY OWNER S/o�'I � <br /> ELECTRICAL CONiRACTOR C�I/���L"�� <br /> LICENSE N0. EXPIRATION DATE <br /> ADMINISTRATOR PFiONE N0. �,S�j ",�Z/� J <br /> VALUE OP WORK (do not include taxes) <br /> (for corrcne:cia work <br /> USE OF BUILDING �L�J 1��; hL <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 /> Wa;hiix�ton. Applicants with such ,jobs must show the State:-approved plans <br /> before a City of Everett perniit w?11 be issued. <br /> WORK TO BE DONC: <br /> U/'�AD� S��v��t� To acsz� �9 <br /> _ i9Dl� CIRC� �T_S `�s72 SUL/�/ZIUw1 �' I��L�IS� <br /> � <br /> / ��} --) <br /> SIGNED : i� �'� � DATE ��/ � b �O / <br /> � , <br /> --_�� , <br /> �!07E5 APD COMMENTS: <br /> 6/10/87 <br /> 1928fi <br />