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� � � <br /> CITY OF EVeitETT DATE: y/�;s �� <br /> ELECTRICAL WIFiING PERMIT APPI.ICATION FEE: <br /> �Ot3 ADCRESS ���`�rna� .,, � .� _ <br /> TcNANT ?/l��Ur�Zacrs o� ff`�.,,���cu. <br /> PROFERTY OWNER 5� ,,,, G <br /> ELfCTi7ICAL CON'iRACTOR (fr, ;��,.Q �[C�� G�n„-� f� „ � <br /> LiCENSc N0. UN[T EE C /,Z( M L EXPIRATiON DATE .1 �/2��_ <br /> ACMINISiRATGR R���rs�, /.�o�,,,,�,,, �r FHONE N0. j3 3 `,'p'/{ <br /> VALUE OF WORK .y/,j, �i � (do not include taxes) <br /> (for commerciZ wo ) ' <br /> USE OF BUI�DING p��'��,'L �- '���o,'� <br /> NOTE: WAC 296-46-140 reauires that pl.ans for electriczl work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washingtcn. Applicants with such jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> NG tu ��CPa - S��r ��� v r� n c.Z`. / n L� s ,— <br /> /. Z'�. �Z.= <br /> SZGt.ED `f������/,�—� ` .� � CATE __�//io � <br /> r�-�-r <br /> �i0TE5 Ar.� CC.���EN7S: <br /> � <br /> 6/IC/E7 <br /> 1SZc:i <br />