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� � <br /> q�� . , <br /> y <br /> h+�� � <br /> � � CITY OF EVERETT DATE: Q-ii 5 - �/ <br /> ��"� ELECTRICAL WIRING PffiMIT APPLICATION � FEE: /D�'��/ <br /> ��� i <br /> O~ JOB AOORE55 �D'� � � F\C 1 N L c� Q�� <br /> �y''�� TENANT L�ACN1 � r� '1r.1 `1��� � �c1�� 4tLS� _ � <br /> sH n <br /> r y RiOPERTY OWNFR 1�c�(3E_�'.l' . �nI u...�L �Q^� _ <br /> �y ELECTRICAL CONTRACTOR'�piK'FA � � `c� T 2T c =/���- - <br /> Tc>1 E1 D$ <br /> y� ', LICENSE N0. o L� l uDffEXPIRATION DATE <br /> 0 <br /> ADMINI5IRATOR CrEP�� �T ��-t�KA PHONE N0. ��� �0 - .� �SSC <br /> VALUE OF W�iK '�j . � �p�l. (do not include taxes) <br /> (for comnercia�k <br /> USE OF BUILDING �.�-� \-� O F FZC�- <br /> NOTE: WAC 296-46-140 requires that plans Por electrical work at educational, <br /> institutional or health care facilitles be approved by the State of <br /> Washington. Applicants with such �obs must show the State-approved plans <br /> bePore a City of Everett peimit will be lssued. <br /> � � WORK TO BE DONE: <br /> ��' I�JTQ.4 �T 4 � ���.� Zrn� Z�,�� E n� ���i <br /> � � <br /> ��� <br /> � � . <br /> ��� <br /> � <br /> � J <br /> � l /� � <br /> '�' SIGNED :��`�\C�•��v.r�['rY1 DATE <br /> NOTES APO COMMENTS: <br /> ��� <br /> 6/10/B7 <br /> 1928H <br /> 1 <br />