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CITY OF EVERETT DATE: G/;,?�"•��7 <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB AD�RE55 ���:-� I v�RoADlr9H���/�=E7�r CcIA. 98�0/ <br /> TENANT FG%F?�tT �t�arDR ��I/✓ <br /> FROPF3ilY OWNER �BF � A �/vt171-I <br /> ELECiRICAL CON7RACTOR A/�1PT1-�l)re`Y C/17� �/��1,(�� ����L(C� <br /> LICEN5E N0. J�/(.[1F/171��2�C� EXPIRATION DATE ,�-�j$-�j! <br /> ADMINIS7RATOR /�.)/`013 srTi�l G�np PHONE N0.(�) 7 y� -CJ S%!o <br /> VALUE OF WORK �a(o�/$,c�p (do not include taxes) <br /> (for commercial work <br /> USE OF BUILDING /�(n77=/ <br /> NOTE: WAC 296-46-140 requires that plans for electrical wr,rk at educationa)., <br /> institutional or health care facilities be approvecJ by the SEate of <br /> Washington. Applicants with such �obs must show the State-approved plars <br /> before a City o` Everett pernit will be issued. <br />�;I <br /> r <br /> WORK TO BE DONE: �'f/{[ q�/JRM �Y��M ��Pn' j�� <br /> �CP��`�= �X1�7%NG� /�L-'.C��� 4�/= L'if?� /,��ARM ;��JN =1 L._ <br /> �r i9C� lt1/f?/Nr� C'nR)ZL`r`f'MfS�-�//,'/N � -- <br /> �'�l��/,�eF i✓U -c�h- �IN�" D�v�e�s� - <br /> I�rPL�acE T�N �'MoKe vrr�t-or� � �u6:r�crFv_ �a �u��-Cv�i��nir1, <br />; <br /> SIGNED : /i� �� � _ DAiE _y` �S�-S�`� <br /> ,� <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1922H <br />