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,:...4 <br />CITY OF EVERETT DATE: 1117/ 7- <br />�� �G <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: -rr{4 <br />JOB ADDRESS Z I5 Syy &/&12 11 MALL W/W <br />TENANT E, (rise_ f' M <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />daerNweST F_rjceh� <br />C. <br />LICENSE NO. KID QX 1 S-204 n EXPIRATION DATE <br />ADMINISTRATOR¢¢]] Tp1I QpW D. Lour_-_ -�/ � PHONE NO. (20(�� --+-2260 <br />VALUE OF WORD 18 l YJI ob (do not include taxes) <br />(for commercial work <br />USE OF BUILDING <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 jobs must show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />N 1w(/ 1 d J 111 I <br />SIGNED DATE 7 / <br />NOTES AND COMMENTS: <br />6110187 <br />192811 <br />