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f'� ,._� <br /> CITY OF EVERE7T DATE: g—lR-B9 � <br /> � � ELECTRICAL MIRING PER4IIT PPPLICATION FE'c: rI�`� <br /> ��� ZS� 3 � ��za� wo <br /> N �7�ei JOB ADDRE55 f7_S�ILII AVe B. Po Itc�" ��T�-I�II Yar/L T � ,�-� � �o -� I� S rYr' <br /> K n <br /> c J rr�4 /nx �. !'0 Pr-- nr� <br /> �'�� TENANT _ N�j. <br /> �MO <br /> PRCPERTY OWrER ���!>/.�/l7Gsr� <br /> � <br /> � �C7 ELECTRICAL CONTRACTOR r :,c �.,s;����i�,� ��Qo�h4 S � y���, /��r,�c <br /> �% <br /> p� ELEi:. CONTRACTOR�S MAILING ADDRES.i �p/a-So�J, 2�8� �rn� 4�03I <br /> �y� LICENSE N0. S�M¢+� 3Z/ k'7 EXF?RPTiON DATE <br /> t~ii M ADMIIJISTRATfft b PHONE N0. '�7Z-7/'I'� <br /> �� VALUE OF WORK " / .S 7 h`D (Co not inclutle taxes) <br /> � (for commercia work <br /> � USE CP 6UILDING _ /v, fj�. <br /> NOTE: WAC 296-66-140 reouires that plans for electrical xork at educational, <br /> 1 institutional or health care facilities be approved by the State of <br /> � r� Washington. Applicants with such jebs c.ust show the State-approved plans <br /> ` before a City of Everett permit will be issued. <br /> � —� WORK TO EE DONE: (E/e�r/u/ I <br /> � Zh .�// A �„�;.�' .z�s-8 Co�.-�o%.– .r,fo �<5;�� �ah„�� �,�� <br /> � . / �� �/e�iu� cCto'��/ i � e< � COh���/� d ���cTl-i c� rm'T��/�✓ <br /> �� '� h04"Pv Soli.�e <br /> l�1�1 <br /> �..l. — <br /> SIGNED : �B1y„ �,t�� DATE ���p 9 <br /> NOTES AND COMMENTS: <br />