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i _ . <br /> CITY OF EVERETT DATE: � 2 - /( - b"'! <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JO@ AD�RESS ,� �S� ,/�l i-,c��i2.4�t.�i � v'G/Y-� �I r� �� I <br /> TENANT �rr°�� �uJ-L <br /> PROPERTY OWNER J-I� ,f ,�,US� <br /> ElECTRICAL CONTRACTOR �,y�j,�<, �L (�Lt-c 11�c <br /> LICENSE N0. `�'�( ('I/�� ((� �j�j14>�(,�-� EXPIRATION DATE �7-�� '�-��j <br /> ADMINISIRATOR ( �;,ir z,��> (Cc��C,;, ,J� PHONE N0. 2� `' ? � �� � <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING �t_� � �u �� _ <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educatioral, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such jobs must show the State-apprcved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> �U ��L� .����l°� �-r�z'� C i: <br /> � ' c <br /> SIGNED : _ �Z2) � , �l� DATE / 1 - / � ' '�� <br /> NOTES AI�O COMMENTS: / <br /> � <br /> / t <br /> '� y-, ��.►�r� ;�1 �� � � <br /> t"� �� � <br /> 6/10/87 <br /> 1922H <br />