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i <br /> 1 <br /> i <br /> � � <br /> � � ��, <br /> � M / <br /> N � � CITY OF EVERETT DATE: / <~/ <br /> � � � <br /> ELECTRICAL WIRING PERMIT APPLLCATION FE" � �f <br /> N 1-i <br /> �� � � i.. [. /.' /<I G �c_ /d /�!-� <br /> � �oe aooaEss � c= �� T <br /> � , � <br /> E M TENANT <br /> F � <br /> " f1Ac.� <br /> ppppy �„i FROPERTY OWNER (,�J A [.-L/.' <br /> () C N <br /> 4 <br /> a oa � ELECTRICAL CONiRACTOR /�"/'/ G s /r�-/r �- <br /> � � H �, , � � ,� ,�� = �, � EXPL'�RTICN DATE '��> / /� `L- - <br /> LICE�SE N0. /� <br /> ACMINISTRAT�R !�i'� C /' ANIJ!/"`.�'�i PNONE N0. �l- '�'s' g1��' <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia workl <br /> USE OF BUILDING � /�/' <br /> NOTE: instituti na140ore h alth tcare pfacilities ebe �aop oved r byatthe UStatenaof <br /> / � Washington. Applicants with such �obs must show the State-approved plans <br /> I C�� before a City of Everett permit will be issued. <br /> � <br /> � �� WORK TO BE DONE: <br /> ��� ,.0 -; -r�rb � ,.��i � i �N <br /> ( � i�'i,v i F-t � <br /> ` �� <br /> � <br /> + ��� . <br /> ' SIGNED • � � �� � --- DATE �/ //`� I <br /> �' � <br /> • � <br /> �'�� NOTES lJND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />