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CITY OF EVERETT OATE: � '/0 � cY� �/.f <br /> ELECTR��:AL WIRING PFRMIT APPI.ICATION FEE: <br /> �oe n�oReSS n � Z '-( C 0 / 4i�'Z <br /> TENANT � /`7 i.� �7 � F�� <br /> �e�rr owr� <br /> ELEC1RICaL CONTRACTOR ��2��� �-s � ^� ���v�' � <br /> LICENSE NC. �li S �/5 3<2 �L EXPIRATION DATE � y � 3 � � �� <br /> ADMINISiRAT�2 J��.. � '�til/a��^^--- f'r�NE N0. �3l z 3 � ; <br /> VALUE OF YfqRK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING ���✓'S� �( ��-C-f <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 /> Washin3ton. Applicants with such jobs must show the State-approved plans <br /> before a City of Everett pexmit will be issu�d. <br /> WORK TO BE DONE: <br /> � � c� � L ✓ � ���✓.,: c `' <br /> � % � <br /> SIGNED ��'(e;�ti'-*�- •,_-�� DATE � i U � c� <br /> � <br /> NOTE5 APD COMMENTS: <br /> 6110/87 <br /> 1928H <br />