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CITY OF EVERETT DATE: I � - � Q - �6 ,. <br /> ELECTRICAL WIRING PERMIT APPLICATION FE'c: � a� ��-� <br /> � aooREss 30U3 llJ - C�zO �� �'� / / � � <br /> 7ENANT �o£in�6 �n � <br /> F20PEATY OWNER 'go2tnlG� Co . <br /> ELECTRICAL CONTRACTOR �R�r�n� �r ( < T t � <br /> LICENSE N0. �cj °J y�„ EXPIRATION DATE <br /> ADMINISTRATOR PHONE N0. �� I ' ��3 L� <br /> VALUE OF WORIC � � ���(do not include taxes) <br /> (tor camnercia work <br /> USE Of PUILDING b-�-�-<«S <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> , institutional or health care tacilities be approved by the State of <br /> Washington. Applicants with such Jobs must show the State-approved plans <br /> before a City of Everett pezmit will be issued. <br /> WORK TO BE DONE: <br /> [,�i�,.t � Sivraq.a �v��e�v 6�..,-/c�iN�,s <br /> u <br /> SIGNED : � DATE JD / <br /> NOTES ArD COMMfNTS: <br /> 6/10/87 <br /> 1928H <br />