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cirv oF e�Err ( oarE: (, � >— •� � <br /> EIECTRICAL WIRING PERMIT APPLICATION FEE: � <br /> �oe aooaFss �-� 5 33 c'���/ i���✓.� <br /> � •--- <br /> TENANT _ _, <br /> �o�rr owr� ,q�,�'c_'�.S �a ti�s ;. c°�. -- <br /> EIECTRICAL CONTRACTOR /-�7-'jy�i'h�l� f L f[��-r G <br /> LTC..ni lSc N0. �v� n,r�-L E j�9rSivl EXP�ATION JATE �. 30 -� =� • <br /> A�MINISTRATOR �cK- ��p„„+.<�'L_ PF'ONE N0. �i6 J� -v 1 ' � �. <br /> VALUE OF WORK 7 bo;'� • ��J (do not include taxes) <br /> (for cortmercia worx! n <br /> USE OF BUILDING �J�-�-�+��a-�-ly <br /> NOTE: WAC 296-46-140 requires that plans Por electrical work at educational, <br /> institutional or health care Pacilities be approved by the State of <br /> Washington. Applicants with such ,jobs must show the Statrapproved plans <br /> bePore a City of Everett pesmit will be issued. <br /> WORK TO BE DON[: <br /> c2Go �rv�p S�tV<e� <br /> �J ���.-� I LR..S � c`�.a.,_`� <br /> SIGNED . ��/�C�.--t__ DATE _.�1_2 r ' � '� .. .,_. <br /> NOTES AM COMMQJTS: <br /> 6/10/97 <br /> 192EH <br />