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i <br /> CITY Q.- EVERETT DATE: ��/;'Q <br /> QECTRICAL WIRING PERMIT APPLICATION FEE: <br />' JOB ADDRESS �ly(� G �c�c w - i �-/'rn c_� <br /> TENANT SL, r.�L7 / > > ��f' �. <br /> PROPERTY OWNER �x`� �„ �, <br /> 0.ECTRICAL CON7RACTOR Z/,_, ,�� � F jccZ� � •, 7� lk v <br /> LICENSE N0. _ _ , � EXPIRATION DATE /O�;p��� <br /> —� <br /> ADMINISTRATOR � �nO,,,., y�z��,., ,�� �� PHONE N0. � '��,� �,� // <br /> VALUE OF WORK �do not include taxes) <br /> (for commercia_ work <br /> USE GF BUILDING � ��,�n,p � _ <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 /> i 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 /> !,� `� <br /> 5 �'7irr r ,..-� 3 � T���;� -f-7�i' — <br /> ( i^ !'l �? J�ci <. r f� .�— �� .�1.. .tc_�^ (Sc?:iC�� — <br /> SIGNED : ��a� �(��/ r�Y�t-�-,.--�-.1�'_ DATE ���� �//ii % <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />