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CITY OF EVERETT DATE: I�;-`�;-�� � <br /> ELECTRICAL WIRSNG PERMIT PPf�ICATION FEE: � " - - <br /> JOB ADCRESS .3�z?' .��'rondlti���i , �✓C✓�� y�%o � <br /> TENANT l�OG�/l /_7E?!t ✓ �A �� liUrISUL <br /> FROPERTY OWNE'ii ( Q r I,/�/Q S Gl (i../���V�./�/l .S'P$ . �G . S�c2 7� /� <br /> ELE�TFICAL CONTrtACTOR a[,�(�P�^ <br /> LICENSE N0. EXPIRATICN DATc <br /> ADMINSSTRATOR i � �� <br /> ���"�_ 1���It 1.��= PHONE N0. !`J`� " = l � ��'( <br /> VALUE OF WOP.K��i Z��Y�3f) �'=' (do not include taxes) <br /> �for commercia workl ) � <br /> 1 I, ' <br /> USE OF BUILDING Cr1 Y vv�t� �� <br /> I <br /> NOTE: WAC 2°6-46-140 requ;res that plans for electrical work at educstional, <br /> institutior.al or health care facilities be approved hy the State of <br /> Washington. Aoplicants with such jobs must shew the �tate-2oprcved plans <br /> before a City of Everett permit will be issu=_d. <br /> WORK TO BE DONE: <br /> .�IteO-(.ct-GO ti� Gtltl.v �Z.Va - Y'C� /.tJ .�('_LA�t,I Yt'�Sl�i2o� „ <br /> � /��K7 Gf,GLd-tt-`^"v ,�iC�+c� ��1. <br /> SIGNED :�__� " � OA7E �� � S'7 <br /> MOTES AP1D CO�R•:ENTS: / <br /> 6/10/87 <br /> 192E1i <br />