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CITY OF EVERETT DATE: (o I�� I S? <br />ELECTRICAL WIRI�G PERMIT APPLICATION <br />JOB ADDRE55 ��-�I - CvFf'Ljr-'�`�� <br />TENANT <br />✓nE S•hbES <br />PROPERTY OWNER VU111vn` SI-�o�S, T�C. <br />FEE: <br />ELEGTRICAL CONIRACTOR I`•����+�F$� t%�1r-�,�L�!.� SYj/ �-�t'V1s T�'�� • <br />--r — <br />LICENSE N0. N��'�1-��520�4G�_ EXPIRP.TION UATE ���>S <br />A�MINIST'.ATOR �I�(L�l� ICO� �I�- PHONE N0. 77`�"'2`��i0 <br />VALUE OF WORK Sk � 2�,`� (do not include taxes) <br />(for commercia work <br />USE OF DUILDING Lv�'>"� m�L+�� = <br />NOTE: WAC 296-46-140 recui.res 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-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE; <br />D (2 C f�'-� �1 i� <br />SIGNED : ✓/J�/ /ii��- DATE -�'����/��� <br />r �� � <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />