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; <br /> CITY OF EVERETT � DATE: L / I � ��/ <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: �/ `� � <br /> JOB ADDRE55 ( � I � n0 ��W �-�� (,1�O ��7S 1/C ��. <br /> TENIINT � � � � �I�-5 <br /> PROPERTY OWNF32 � — ` � Y�, C(LS <br /> ELECTRICAL CONIF2ACTOR RODGERS ELECTRIC CO . , INC . <br /> LICENSE N0. RODGEEC232PA EXPI(tATION DATE 6/30/ 91 <br /> ADMINISTRATOR TERRY EARNHEART PFiONE N0. 252-2107 <br /> VALUE OF WORK I (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING ,� ' <br /> _ i <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, I� <br /> institutional or health care facilities be approved 6y the State of ,. <br /> Washington. Applicants with such ,jobs must show the State-approved plans i '- <br /> before a City of Everett permit will be issued. � ` <br /> i <br /> WOfiK TO BE DONE: JO4H <br /> .S�ALL JP�. � � , L—/�(,�fC �': <br /> � r ��'�V�,� � ���-1,'v�(L . <br /> i �_ . ' <br /> c� 1 C — �-�.. � / `C' 'II <br /> � � <br /> - � � , � _ , � i <br /> t � � <br /> . F <br /> ; <br /> .�,` � / ; <br /> ' � SIGNED : �� U,� DATE �� �� �� <br /> � ��; k � � <br /> NOTES AND CO TS: <br /> R ' , <br /> � I <br /> ' � ����� n�� 7 (� <br />�� ;� � ��s ���� `'� I <br /> ., . ' �� � � <br /> .,;' � 6iioie� �. 1 'l�ti'�C-`�' � <br /> i9zeH <br /> � - <br /> V , — , <br /> i <br />