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�� 5 <br /> A � 5 {� <br /> � `3 �' CITY OF EVERFI"f � OATE: �- �"'a�� F �/ � <br /> K� n cLECiRSCAL WIRING F'EZMIT FFFIICATION Fc: � S�'� <br /> H X1 <br /> Ox0 <br /> '�tl H h7 <br /> V1 H <br /> � p� JOB ADDRE55 ������ ��.�L1��� G(�G?,� <br /> �/�� 8 � rer,ar�r ���'_������17� r'�y� - S <br /> ^,y n � • <br /> 'l N ��P�Rn �{5'�`1ER .-- �-�"I�l.72�i <br /> H � <br /> � H y aEc�zca� corrr�acraR ` �,9��/,�9�'� �/ .s� %r%��� <br /> gN <br /> �y LICEtJSE N0. /-!�/5�N. L� j ?�i`�o�EXPIRATION DATc � -�'L �1 <br /> �y H� ADMINISTRATOR /�, UL 'l-`''S�"�'cc� FFANE N0. �6 ;� ���C � . <br /> HOV� <br /> VALUE OF WORK � , ���o (do not include taxesl <br /> (for commercial workl" � <br /> % ) ~ i <br /> USE OF BUILDING %��Q�� ��-�> CLL t,r%' �� G���C_�.�. <br /> NOTE: WAC 296-46-140 requires that plans for electriczl work zt educational, <br /> institutional or health care facilities be 2pproved by the .State or <br /> ' Washir�gton. P.pplicants with such jobs must show the State-�nproved plans <br /> before a City of Everett pexmit ��ill be issued. <br /> "r' '-��" ' <br /> WORK TO RE DONE: � � <br /> �C�; ' �r � ,� ��'�� �',�,,,, lcr�ivr�2,�e <br /> � ` � ` <br /> . 1�._ <br /> ' ':> .,-.Lf..__ <br /> i � �r � � i - -' <br /> � r. y <br /> •_ r,�y y ��t� , <br /> � �� . ya L 5�+, `,X 1 '`.. <br /> I . _ r�eqr ;, <br /> , �x'�,.- „ <br /> �'. <br /> E �� :: �- <br /> ' 1 � u s.�i <br /> ��' ;1 , .,"'"'1�+�`�` '+� <br /> i <br /> SIGNED : (�I.� �� DATE � � �- 1 C� � � , �1"3 �i;`• .�� <br /> ��...-..-, _� ° �, <br /> � '•�.,,� ,. . — ' �' ' : <br /> ' ""+) NOTES AND COMMENfS: ' . �� ' <br /> I s� � <br /> �? <br /> I � �� <br /> � e �.;'. <br /> I �.� (" <br /> I ��' . <br /> \ <br /> , . . �,.� ._.��; <br /> \1 `�. <br /> $ � <br /> I � <br /> 6/10/87 <br /> 2528H <br />