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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />DATE: <br />3 --:, -`dC5 <br />FEE: 3O <br />TENANT L I (E 0 P, )}O ) O / (_) rZ0�.(rUO L�v=L (tia2T7f% <br />PROPERTY OWNER E V ElZCT T- R20 FC--_S-� i ()A-) It L- P2 U PEfz n ES (iVG <br />ELECTRICAL CONTRACTOR ELECT ,c , j ti C <br />LICENSE NO. 5E-7 I-14 ,Et 114-7 /7-0 <br />EXPIRATION DATE -- <br />ADMINISTRATOR S I rMW fF-- iLA-$CX,I OU PHONE NO. <br />VALUE OF WORK -e 5 O .`sv (do not include taxes) <br />(for commercial work) <br />USE OF BUILDING <br />of-FIcE SPA-C-fF <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 />Washington. Applicants with such jobs must show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : <br />NOTES AND <br />6110187 <br />1928H <br />Atli SOME CSC LC`fs /�JY) Ll()If lA7 7a <br />�X 1 511 nlC, aFFl« SPA<�'E <br />[SATE <br />