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� . <br /> CITY OF EVERETT DATE: <br /> ELECIRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS �O � I r ��/E,e c� R E 8 nl w��a.� <br /> TENANT � u�ay �.tE LR*i-lE C 1�2y 5 I E.K �l.�w�nvYl.� <br /> FROPff2TY OWNER l> u ray w� � L,o,ti E. <br /> 0.ECTRICAL CONTRACTOR /�-1���E,� S I (.� r! Cc� , t �c <br /> LICENSE N0. M,_,�,� � � �� � ra �c EXPI,ATION DATE a - ae - a q <br /> ADMINISTRATOR b,.) r•�, � , LL K�. i ,� E PHONE N0. (,Z.y-���y; <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia wor <br /> USE OF BUILDIt� ►Z � T r.,� � L a.2 S �*��s <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care Pacilities be approved by the State of <br /> . Washington. Applicants with such ,jobs must show the State-approved plans <br /> before a City of Everett perr.iit will be issued. <br /> W�iK TO BE DONE: <br /> I l�l S T /a l 1 � � � K 7�(1,v,� S 1 C-� a1 <br /> Crc �`tcZ- 21L� I L 1 2CUT <br /> =:�. <br /> F' <br /> 1: . <br /> SIGNED : DATE /(7— '7 — �'I <br /> NOTES AW COMMENTS: <br /> 6/LO/87 <br /> 1928H <br /> __. .-. _ <br /> _ . <br /> � <br />