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,.,... <br /> CITY OF EVERETT CATE: / l,` �'�/ l�c j l � 7 <br /> ELECTRICAL WIRING PE3iMIT APPL':CATION FEE: <br /> JOB ADDRESS � 7 j r� C� �; � .3 �/ <br /> TENANT <br /> FROPERTY OWNE7i C/�Cc /!lIVZ�i� T- <br /> ELECTRICAL CONTRACTOP, �,� � g �t Fc ��4i � <br /> LICENSE N0. �� �r.fNr��/i 57 .; j EXPIRATIGN DATE / �f��j <br /> ADMINI5IRATOR /�pnl ����p�,��C/� PHONE N0. 3 S / 770 <br /> '� <br /> VALUE OF WORK a�� UO. U1J (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING ���j , <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washirgton. Applicants with such jobs must show the State-approved plans <br /> before a City of Everett peimit will be issued. <br /> WORK TO BE DONE: <br /> � �� ?, /L , �L/Z U/G c ` r�VU /-Q�vJf'l G�/�.%Lf/�% f <br /> ITr'14TEK S � /��1�' Lli f4/cN Gi /.lc Jii /-e�v/� <br /> /�/�r.�K l!< - UJ�I-�i/L12 G t< '- !.�Gc�. /rJi 5"./l _ <br /> aJI v!c ✓�'J/!1f,��[lD --�.., s <br /> SIGNED : /` �y��, ��,,, ,��C�.` DATE /Z%� v i� d'J <br /> NOTES Atm COMMENTS: <br /> 6/lOB7 <br /> 192EH <br /> � <br />