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,, <br /> �• <br /> CITY OF EVERETT DATE• � �- l - �� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: ?j 5� <br /> JOB ADDRESS Sg�'3 ��s,�r..�oan , CvG�2��'C Wa- <br /> - TENANT �_s���Z� �v��c�p�� <br /> FitOPERTY OWNER• <br /> ELEC7RICAL CUNTFtACTOR �FxtE.� L+c �.��� <br /> LICENSE NU. �LE�.+� \�.41 G(J EXPIRATION DATE '�-31 -gQ <br /> r <br /> ADMINISTRATOR �-�a` VC�sZ�TZ PHONE N0. '1�3- b�-Es�{ <br /> VALUE OF WORK �do not include taxes) <br />` (for commercia-T work , <br />�. <br />� USE OF BUADING �,�� , <br />� <br /> NOTE: WAC 296-46-140 recui•r�s 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 oennit wi.11 be issued. <br /> WORK TO BE DONE: . <br /> Vv�rz� t�i�w �-.�on-.� Ar A+�u� /��n�-ss <br /> � - <br /> SIGNED : ���3 �- DATE l t- � - Jg <br /> NOTES At� OMMENTS• <br /> 6/10/87 <br /> 192EH <br />