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� <br />. � <br />! C1'; <br />i <br />� ` <br />I �`�. <br />� �� <br />� <br />,� CITY OF EVERETT <br />, ELECTRICAL WIkING PERMIT APPLICATION <br />JOB ADDRESS /�lJ C Wv <br />TENANT �c.�1ev�tsiur� <br />FROPERTY OWNER �� (��� � p, <br />� <br />DATE: I— Z-� - � Z� <br />FEE: 70. ��' <br />l I ��Iti U 5'v��e <br />ELECTRICAL CONiRACTOR �I�P�j'�N �ltC'r6l�C <br />LICENSE ND. ��� �C � � J� C�W _ EXPIRATION DATE S� )/�1 � <br />ADMINISTRATOR � LI� MG��'� �.� PHONE N0. %y 2-O �6 S Z <br />l� <br />VALUE OF WORK �� Q('� (do not include taxes) <br />(for commercia ork <br />USE OF BUILDING , ����'� p , <br />NOTE: WAC 296-46-140 requires that plans for electr+.cal work a!: educaticnal, <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 wi11 be issued. <br />WORK TO BE DONE: <br />�.�; ll 1,;,1,T� <br />SIGNED : <br />NOTES AI�N <br />i <br />� /��i/v�-.� <br />� �a <br />n� �;� ���d <br />n <br />l'�</,,� _n,,�I� 9-SG>>o <br />6/loia� � �/ - ��?l^ <br />1928H <br />0 <br />DATE /-Z/—�� <br />� ' <br />; <br />r <br />