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i <br /> � � � <br /> o� � <br /> �HN � �' <br /> � a <br /> K n CITY OF EVE32ETT DATE: C�C>��(Yl�`'-i �, IQ� I <br /> Hxl r `''- <br /> �M y�y ELECTRICAL WIRING PERMIT APPLICATION FEE: •��O — <br /> N M <br /> h7 �� '�� 'a . <br /> w�4�� � <br /> o��g JOB ADDRESS � ��u y �'r�o.c�(��:.�_� ���'+ _._ .. ' <br /> �� � iENANT �aC��',� �1�(��, ori�7 ��, �1� i ���a <br /> 'Z M ' <br /> � y fftOPERiY OWNER Jl� ( ( � <br /> HH <br /> g�y E1ECIRICAL CONiRACTOR {%t)' I'Q(�P�� ��C'Lc f�7� / . ��'1C� I <br /> � �� <br /> LZCENSE N0. �;�—��;jZ 11 a L� EXPIRATION DATE (p - `�a-- <br /> H � <br /> H o �n ADkINISTRATOR �1 )� ��I _,.Yl I�. �"�1�.';�it1 PHONE N0. .3�/8-3y,��7U <br /> VALUE OF WORK J .'JU'� °j (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING .J�(_;yS i�1 >'� �y�{ 1�-'F <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> ir.stitutional 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 City of Everett permit will be is,ued. <br /> � _..` . • <br /> �' WORK TO BE DONE: <br /> � � _ . �-+ <br /> 1 � � � r� � 1 f ��' i�� � /1 ��� ��U (l�`� �.�' ����'ti�� �) U 5�'rvl <br /> ��� �i <br /> , <br /> I -- � <br /> �_i-, <br /> ��'+' SIGNED : �n��.�s ; /.'r'� 1•71i2 �1 '� _ DATE � -L�-`?/ _ <br /> i NOTES AND COMMENTS: , . <br />� ��~��� ` <br /> '�h;a <br /> �,.a , <br /> ,'i--��,_s�:.. <br /> - ,�;?;' 6/10/87 • <br /> � �';��� 1928H <br /> s j, <br />� ���' <br /> �A.'� • <br /> K', <br /> -_ a, ����r.�-'a�<„ ., <br />