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CITY OF EVERETT <br />DATE: /- );5 - S'/ <br />ELECTRICAL WIRING FERMIT AFRICATIC4 FEE: <br />.AB ADDRESS h i/ G �% �nq S i/u o k1d <br />TENANT //Icf CL <br />FROFERTY OWNER /he //NC <br />El ECTRIC;L CONTRACTOR <br />LICE`1SE `:0. <br />ACMINISTRATCR <br />F(F ,AT1CN OA i'c <br />FHCNE NO. <br />VALUE OF WCRK (Co not include taxes) <br />(for ccrt'mercial word <br />USE OF BUILDING / g <br />NOTE: WAD 7.96-4G-140 recuires that plans for electrical work at educatlenal, <br />institutional or health care faci-ities be acproved by the State of <br />Washington. Applicants with such jccs must show the State —approved plans <br />before a City of Everett permit will be issued. <br />WORK TO SE DONE: <br />/N / l (fr ed o) 60 A i,?,) S e ,- a /'C'e- <br />SIGNED ,'//Zt�(�C��r..H4.� CATE / - .2 T -- d- <br />NOTES Afn CO11MENTS: <br />