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'� /(� 28-FS �''� <br /> � � b CITY OF EVERETT DATE: <br /> �o �Z � ELEC'fRICAL WIRING PE"irMIT AFPLSCATIDN . . FEE: I�o7 <br /> ! H N <br /> H � M . . <br /> K <br /> o � � ,;oe r�oaEss 2o3Z co�gy <br /> N M <br /> W � � rs�ar�r v,e n ,e c�,�T��e oos <br /> z � R FAOPEi�TY OWNER 5�'Y'E <br /> c� • �S <br /> a y � ELECii2ICAL CONIRACTOR �lSS�nN L-'LLGT2<<- �^« • I <br /> �$ y y LICEISc N0. P[SS/✓�r-!- /�f 7 C(,, E;(PIRATION DATE �-8� � <br /> +� o H s-I�S <br /> � � � ADI4INISiRATGR �I�, K�I.SS/r+rx�l PHONE N0. (a5`1� <br /> � y VALUE OF WORK (vSop�� �do not include taxes) <br /> (for commercia work! <br /> USE OF BUILDING DeN��� CU^�< <- <br /> NOTE: WAC 296-46-140 reGuires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washi�gton. Applicants with such jcbs must show the State-approved plans <br /> before a City of Everett pennit will be issued. <br /> r WORK TO BE DONE: , ,; ', <br /> �L�� Ne,..� s��✓rc� ?�p �EMOJ�t2 Lxis��r.t5 Bvi��o� N'j <br /> 1 ` <br /> I '�� <br /> �� <br /> I ' ' • <br /> i � <br /> � <br /> !•, � . <br /> SIGNED : <br /> DATE � � -2 8 -o$ <br /> �� . NOTES AND COMMENTS: <br /> �' ' I s <br /> - � . _: '� <br /> 6/10/87 - -- � .:. �t <br /> , ,__ ' <br /> 192EH � r -��� <br /> � <br /> -i'� <br /> , <br />