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CITY OF EVERETT DATE: j� (�`.(� I r> I � �S �_ <br /> ELECTRICAL WIRING F'E�2MIT APPLICATION �E; <br /> T�' <br /> JOB ADDRESS �1I C1�"(1-"\�I�� Y� � i ^ <br /> I I i <br /> TENANT '�-IY�;�- IM{� ! �;ir-�IF� �`i-1�'i� � <br /> FROPERiY OWNER i. •, •, <br /> � <br /> E1ECiRICAL CONiRACTOR � � r �»= .n 7"'I— <br /> LICE";.:E: N0. ~ 'LLL-��1�I71F>/-� (Y., EXPIRATION DATE _I( ' _ =?�- -�� <br /> ADMINISiRATGR PHONE N0. ?�=/�- ("����� <br /> VALUE OF WDRK r�'("�c� (do not include taxes) <br /> (for cortmercia work - <br /> USE OF BUILDING _��'�� 1 <br /> NOTE: WAC 296-4C-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> before a Gity of Lverett permit will be issued. <br /> IVORK TO BE DONE: <br /> �i � _ �i <br /> r-. - �- -- n � � - <br /> . +--- -_, <br /> ( <br /> � i°� �I��� � u '�i-� h C' rl �,-� r �`1n� �' � - <br /> � � , <br /> �`` � . <br /> SIGNED j � - i' DATE _ � (':( J - I S I�� ki�� <br /> r / <br /> NOTES AND COMM S: <br /> � _-- <br /> 6/10/87 <br /> 1928H <br />