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� <br /> _ (` <br /> CITY OF EVERETT DATE: �'?S"�� <br /> o� <br /> EIECTRICAL WIRING PERMIT APPLICATI6N FEE: �{x <br /> JOB ADDRE55 50/5 ��0/U�/ ��L'e: .�v, �E �� rJ <br /> TENANT � � Slik� <br /> R?OPERTY OWNER �I70P2i i X ( '+-���' �' <br /> ELECIRIC.QL CON'fRACTOR ��/r�u.v L(J/�-I�5 G�G� i9�'IC_ <br /> LICENSE N0. ✓,U�'( �l D ln/ � rZS �C'S EXPIRATION DATE <br /> ADMINISTRATOR 1/7t n'�ni �tlAI�S PHONE N0. �• ��' ��71C' <br /> VALUE OF WORK � �� � `� � (do not include taxes) <br /> (Por commercia work <br /> USE OF BUILDING �/�'dFt"55/nN� � ��u, ������ <br /> v <br /> NOTE: WAC 296-46-140 requires that plans for ,electrical work at educational, <br /> Snstitutional or health care facilities be approved by the State of <br /> Washington. Applicants with such 3obs must show tne State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> �Q� .S �N. L/A// Y_�'�y 6�tC/'� ��i�UC' / �/y�f S�v.�ri� <br /> �] 6�- J / / <br /> // �d � /�/tSG .c2�/tf�� ��/��FL-F.' -1� [= ,'/S i�J n,� C //PCU: � <br /> �/Obr �/�JGRY��S� /iy�7 �� Qc�sra� ���»F<� �,�'/� <br /> , . <br /> � �� <br /> SIGNED : <br /> � � � DATE ' � ; � !! <br /> NOTES AND COMME15T : � <br /> \ <br /> 6/10/87 <br /> 192EN <br />