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�--, - <br /> CITY OF EVE7�ETT <br /> DATE: ( — Z Z - c`�; <br /> �� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: ,�S <br /> JOB ADDRESS l �2- 1 GU�-���{ <br /> TENANT <br /> �oP�r,� owv� L�o�. ri�3�c� <br /> ELECiRICAL CONiRACTOR ��5���" ^� �-=i--�=-2�, L �`�`�' . <br /> LICENSE N0. I�ISSv�� -i- I�Z <<-- EXPZRATION DATE <br /> A�MINISTRATOR -T L-� ILi 55 i�1►�t�l PHONE N0. (95`� "5`��-� <br /> VALUE OF WORK lOe�6" (do not i�clude taxes) <br /> (for commercia work <br /> USE OF BUILDING ��5 � 0�'`a1 ��� �-1�- <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 /> Washingtcn. Applicants with �uch jobs must show the State-approved plans <br /> hefore a City of Everett pexmit will be issued. <br /> WORK TO BE DONE: <br /> I�nJ � �' �rc�o�v 2 �� n sc�v� �= ��1�' � �'�� �= K��Oo�l� � <br /> .p ic �'� <br /> SIGNED : <br /> -- DATE � �� � � ��' <br /> NOTES ANO COMMENTS: <br /> 6/10/87 <br /> 1928H <br />