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�; ,,� �,�'1'IGI <br /> CITY OF EVERETT �ATE: /"' Z� � ` � � <br /> � -7e � <br /> ELECTRICAL WIRING PERMIT APFLICATION FEE: <br /> . �-.%,r-�� U� _ <br /> JOB ADDRESS � ��Z ( ��'Q'�^��� ,��� L V--� • <br /> TENANT _ <br /> FAOPERTY OWNEr2 �J�S�-��(� �.�0 4,.. •.�J <br /> ELECTRICAL CONr2ACTORI.�� N1�L���yc <br /> LICE�S'c N0. �w� Ibi �� �-�'1 I.3�_ EXPIRATiON DATE _ <br /> AOMINISTRATCR ;1'16 \ � ��-c��l FHO�E N0. �_d��_ <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work ' � _ <br /> USE OF EiUILDING ��\�-�( � S\�� ��-� -�.� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutio�al or health care facilities be approved by the State of <br /> Washington. Applicants with such jobs must show the State-zpproved plans <br /> hefore a City of Everett permit will be issued. <br /> WORK TO BE OONE: � � <br /> �� �J �v U � ��U dc.'4 <br /> SIGPIED : <br /> � DATE ' / <br /> NOTES AND CCt4MENT5: � <br /> 6/10/87 <br /> 192�'li <br />