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�� � CITY OF EVERETT ` DATE: ����_ <br /> H <br /> �� N ELECTRICAL WIRING FERMIT APPLiCATION FEE: ^ <br /> ��Hc [/i <br /> HSG � . <br /> o x o JOB ADDRESS ���7 �GCr f�fC.� s✓�'Y f`./��' <br /> ��' �' TENANT VIDCO FLdLTO�y <br /> ox <br /> � d PROPERTY OWNER C�CcIL°A?OAiT V% �(nf�G �'cSSaGiG'��f <br /> �� g ELECIRICAL CONiRACTOR �. �A• I�t � ��C.G1 I�IC ��G <br /> �y � LICENSE N0. �D • D•� Eh.Y �.�gB� cXPIRATION DATE I I���1 D <br /> g ta H ADMINISTRATOR /Qv� m �/'J� PHONE IJO. 7 �f y G3 J/ <br /> �o� �n <br /> t� VALUE OF WORK 31�q. 6 7 cdo �ot include taxes) <br /> ta (for commercia�Zk1' <br /> H O � �_�y � � <br /> USE OF BUILDING � f-� <br /> --�, <br /> - --- : <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 johs must show the State-aproved plans <br /> before a City of Everett permit will be issued. <br /> '�1 WORK TO DE DONE: <br /> ��I I�A/2n�T //rI�IDI�C/�rlf,°N1 <br /> � � <br /> ��� <br /> � � . <br /> 1�� <br /> �s <br /> '� <br /> iSIGNED : _�///�� �D'Z4Y11 DATE 6 "'I� —�� <br /> MOTES A� COMMENTS: <br /> �� <br /> �' <br /> 6/10/87 <br /> 1928H <br />