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CITY OF EVERETT � DATE: _ � -2 � ^ � Q� <br /> ELECIRICAL W7RING PERMIT APPLICATION FEE: � �j(� f� ; <br /> JOB A�DRE55 1��Z.Z (�4 I � i I" � Q� � I J P n � ��I �� ct <br /> � TENANT ' � � ✓ <br /> n� � , `�" C <br /> FROP�TY UWNER � �� rrP'� �r��"F'. j r(:� 'r'� . ._S <br /> �_._. <br /> ELECTRICAL CONTRACTOR ��q. � v rs� F � p�-`-r�� i .L n r . <br /> IICENSE N0. S � J� I'� l l F ,Z I�-4 1 (z O EXPIRATION DATE lZ - O�} - $ � <br /> ADMINISiF2ATOR � � �u ���„r ,� PHONE N0. � h Q�- � ��� ? <br /> VALUc OF WORK � 'j , G 0 0 4 (i G (do not include taxes) <br /> (far commercia work <br /> USE OF BUILDING (_ �) ,�,� n� <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-aoproved plans <br /> before a Ci':y of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> � 1 I Q l � . <br /> � � I�rnl �- �. n � �✓crnln� / l) fq/t�%✓1 G�� i � <br /> V <br /> SIGNED : ����y, ( J��,� OATE � ` 2 � ` �i � <br /> NOTES AND COMMENTS: <br /> � <br /> 6/10/87 <br /> 192EH <br />