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� �. <br /> CITY OF EVERETT DATE: \� - 2°. - � . <br /> �1EC7RICAL WIRING PERMIT APPLICATION Ft�; H ?. � � <br /> JOB ADDRESS 2 4L'�-u G u :, U`(. <br /> TENANT N° N� <br /> PROPERTY OWNER LA S� a o L S U � ` N G-S <br /> ELECTRICAL CONTrZACTOR Z n � �"�ST C �-tLt Q-`� � �H � ' <br /> LICENSE N0. PP�w'�ts- � 5J �S EXPIRATION DATE <br /> ADMINISTRATOFi K`�� M � C 1 �n r , PHONE N0. 3 S 3 1-1 `1') <br /> VALUE OF WORK �� � • (do not include taxes) <br /> (for ccmmercia work <br /> USE OF BUILDING �D Mt+�tr �� lL� S � A � � <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-appruved plans <br /> before a City of Fverett pernit •Nill be issued. <br /> WORK ill BE �ONE: <br /> �,y i Qr Fv�(= C:�,= VJ P�1: 5 '1 `(2���� \�S <br /> SIGNED : � � �ATE � � - ZC� - �'°a <br /> NG�TES ArD COMMENTS: <br /> 6/10/87 <br /> 1928H <br />