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�. <br /> CITY OF EVF3tET OATE: �/ — ��� d � <br /> EZECTRICAL WIRING PERi�IT APPLICATION �; <br /> � � <br /> JOB ADDRESS � �� -� I � l�� I J <br /> �Nar�r �� �r', r�}- � S' �- �r� i�v.e�� <br /> � <br /> �o�rv owrre�t �', �N , ;��,q,.✓�Z� <br /> E�EC1FcICAL CONiRACTOR �(,2�)?-� S� .iJ � (,C�i, �, <br /> LICE�SE N�. J�/1 1��l, �I,ri 3 /Z t,(� EXPIRATIGN DATE �i �� ��� � <br /> ADMINIS iTtATOR � n� � z�S'; .�/ �r+oN� rro. 3.j y , �.��'/ <br /> VALUE OF WORK _ ` 7,j �� (do not include taxes) <br /> (Por cor�riercia wortc) <br /> USE OF BUILOI� J�,,�� �1a,� Q <br /> v <br /> NOTE: WAC 296-46-140 requfres that plans for electrical wozk at ed�xational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Apolicants with such ,jobs must show the State-approved plans <br /> before a City oP Everett permit will be issued. <br /> WORK T(i BE DONE: <br /> ��.�1'(I�-z.2 /??.2,� ��'_S—e S,c��-4`;' ���. <br /> � 3 i���s <br /> SIGNED : ���-(/ �(/6�� DATE �� ��'— Cr rS <br /> N07E5 ArD COMMENTS: /J <br /> ���L y u � j ,Y�j G� � �' � G'L�'j2-4 /�/ <br /> ��IrZ �`.Q �'�/����'V��(,G",tA� G/U I / �� / VV�✓{N/ <br /> ^_ _ �. __ " _.- . _� � - _ . ' � ��'f/ ._. . _ . .- " -- - . <br /> ��1�"� � . <br /> -- . �,q. ���-���Cl/�c-✓ - <br /> ' G/10/87 <br />_ 1920H � <br />