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i <br /> i <br /> , <br /> r� � � <br /> CITY OF EVERETT DATE: �I -Z Q ` �J� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: S. U <br /> I <br /> I <br /> � JOB ADDRESS ���u I L I'C V� I A�n i� _ <br /> i <br /> ' TENANT % q vn c <br /> ¢ PROPERTY OWNER �q h i n U �f C C n� <br /> � <br /> ' ELECTRICAL CONTRACTOR S P a�u �S� � I c-c�i'f�c, <br /> C <br /> LICENSE N0. S � A I'�U F� I �I'7 R � EXPIRATION DATE � °� yZ <br /> j ADMINI5IRATOR S1� n,Il.c_, I� a b 0 u r n R-IONE N0. �� Q� - �Q� �'Z <br /> ( VALUE OF WORK (do not include taxes) <br /> (for cortmercia work <br /> USE OF BUILDING __�� � � <br /> NOTE: WAC 296-46-140 requires that plans Por electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such �obs must show the State-approved plans <br /> ' before a City of Everett permit will be issued. <br /> � <br /> WORK TO BE DONE: <br /> ' Re� o� v�� 2- 00 /� �dnc � � v�.e -�er r �.� �,��.e��.c�� � <br /> � <br /> -�, (`� a' � � <br /> i <br /> SIGPED : /� t // : �[...�- DATE � `�O - �l q i <br /> NOTES APD COMMENTS: <br /> 6/10/87 <br /> 1928H <br /> � <br /> I <br /> � <br />