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! 1 � <br />1 <br />� <br />CITY OF EVERETT <br />� '! D a'E : _�,.._ AM� <br />ELECTRICAI. WAiING PERMIT PPPI.ICATION <br />1� \�11 �o� <br />�oe anoREss ��`�`�e � <br />IG'WYT <br />FEE: c'+n n,�,�,r.�.�� <br />�n3 <br />PROPF3iTY OWNER SAME �— <br />ELECTRICAL CONTRACTOR ISRISr:'S I10!1E StiCI'H.'.1'Y .^^u " 19q, <br />LICENSE N0. BRI4K's �is laeLe ,_ <br />EXPIRATION DATE •� — <br />pHONE N0. 575-0497 <br />ADMINIS'fRATOR ` <br />(tle not include taxes) <br />VALUE OF WORK�� ---�----- <br />(Por commercial workl <br />USE OF BUILDING RESIDE!'T1,�1 � �°��'°T`1'1 <br />p107E; WAC 2?6-46-140 re:uires t�at p.ars for electrical work etthed Stateneof <br />institutlonal or realth ca:e fac!1'_:les be approved by <br />Washington. Appl!ca^ts wi" e�-", '�-s must shcw the State-apPro�ed plans <br />before a City of Eve:ett ae:�+._ wi'>. oe Sssued. <br />WORK TO BE �ONE: <br />nsoeccion of <br />� `. <br />DATE � - � ��— <br />SIGNED : <br />i NOTES RrA COMMENTS: <br />\'`� — <br />6/10/87 <br />1928H <br />r, <br />