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CITY OF EVERETT DATE: ��f���9' <br />� <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: � <br />JOB ADCRE55 ,�QJO %3�-vc�/ .�o� � <br />TENANT <br />�oPEarr owNEx <br />SG�,� <br />ELECTRICAL CONTriACTOR Uh,`t'��,/ �'(ef-� �on�G r��t� <br />LiCENSc N0. UN/TF F� /7'C N G EXPIRATZON DATE /0,30 �.�/ <br />ADMINISTRATOR ��,�I,,,, ��a,,,, r,,., �,-- FHONE N0. �_� 3 �'p[� <br />VALUE OF WORK (do not include tax=s) <br />(for commer.cia work � <br />USE OF BUILDING /�es��r�,c c� <br />NOTE: WAC 296-46-140 requires <br />institutional or health <br />Washington. Applicants <br />hefore a City cf Everett <br />WORK TO BE DONE: <br />that plans for electrical work at educational, <br />care facilities be approved by the State of <br />with such jobs must show the State-approved plans <br />permit will be issued. <br />/i� 2lil�"v 1->45Cw.C..T <br />�✓Gw JsL �an � 1/rrvr 2Lns:.rr ?��AS <br />� ��� ��e� <br />SiGNED : ,. ,1/� DATE � /C /,Q c/ <br />� ��' <br />MOTES ADID CC�4NENT5: <br />6/10/87 <br />1922H <br />