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��� . . : r � , _ � . , <br /> � '��' � CITY OF EVERETT DATE: G �'L /�l1 <br /> k�� FlECTRICAL WIRING PE.FiMIT APPI.ICATION FEE: IO�°O <br /> �d�Pv ��.UG � �j�j9� <br /> ��� .` J(i0 ADDRESS � ��D'1- 121 � 17 �' SW j' HR2D�^� R� <br /> N100 TENfiNT �O�lN9 LiMn�'N�� I?r�Ci�lhtM�' <br /> c�� a <br /> �y y �rtor�rv owrmt '�c��nx� <br /> r �� k1ECTRICAL CONTRACTOR ��, uJ.CloScr• l.O. <br /> ��� LICENSE N0. �� jM)GI.C�G 12��jpS �pJpATION DATE �O- �i0-�qz, <br /> � y y ADMINISTRATqi oye ) PHONE NO.Cz�O)6Z 3 -�q 6 0 <br /> 9 tn <br /> VALUE OF WORK — (do not lnclude taxes) <br /> (for comnercia work <br /> USE OF BUILDING �NC-:��.J�.Brz��q �.�(3 , <br /> NOTE: WAC 296-46-140 requires that plans for electricol work at educational, <br /> Snstitutlonal or health care facilitles be approved by the State �P <br /> Washington. Applicants with such �obs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> �"'�, � a WORK TO BE DONE: <br /> I ��� �nlsrr�u.. Pewk-2.� k�- lA�� i�.h��t�oc�c. �cNsm.o�sys�f^1 �a _L�z t.,�?, <br /> � ��' -- <br /> I - <br /> � . <br /> � -- � � _ <br /> i �__ <br /> ._,i _ <br /> SIGNED ; I" �Z• ` w • pATE q �Z � <br /> ' ���� NOTES MD CONMENTS: <br /> I . <br /> ��� <br /> � <br /> 6/10iB7 <br /> 192BH <br />