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CITY OF EVERETT � DATE: �— � �� �� <br /> ELECiRICAL WIRING PERMIT APPLICATION FEE• a 5� <br /> JOB ADDRESS 1I a I S C1 LC�IJ N l�l/CR]� {}'VE , �V�LLiJT <br /> TENANT O W Ill�2 <br /> PROPERTY OWNF7� .,�'�"� a.r+l O�Prp6AI� 5?�1"R-IZ <br /> El-C1FtICAL CONiRACTOR 5 �#� H'tA R.ST E�u2-i- ��C� _ <br /> LICENSE N0. �'EfF- Yh�EZ' I�f� 2.✓> EXPIRATION DATE <br /> ADMINISTRATOR 5 {�1�dvE 12-ft80CA(Z� PHONE N0. Z5 S ' I Q7 �Z- <br /> VALUE OF WORK -" (do not include taxes) <br /> (Por commercia work <br /> USE OF BUILDING ^ D.Q�o��+ 4 <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutio�ial 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 /> QG� 0. �o'� �-��a Cry�e%�u�.--�i <br /> SIGNED : � DATE GJ '/ S - 8S <br /> NOTES AhID MM • <br /> r <br /> 6/10/87 <br /> 1928H <br />