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. . � �,ob � 3so3 <br /> y (� H <br /> W�" t" 'C <br /> �o'� m ' � DATE: 1 �3,' �, . - �j !� <br /> ❑ y CITY OF EVERETT <br /> �y � � ELECTRICAL WIRING PERMIT APPL.ICATION FEE: '� J= ����-� <br /> �! y <br /> M � � <br /> N M <br /> y r_� <� � 6Lc�� Wn�,L> i�J�� <br /> ; � � �oe aooREss f�(� <br /> � � � TEVANT t�U �.�E= .l_,^�_ �.:� ,,_ (, �LI .�'•�.. <br /> � ~ � PR�PEftTY OWNER L' 1 T�/ U �� I":_ u t= G= l.- .1� .� <br /> H 2 <br /> � � y E1ECIRICAL CONTRACTOR �•�• �L'V`_�t- <br /> � � LICENSE N0. ECr � IiW'��.oCL �.��U_S_ E�'�A7ION DATE (o ��r '1 � <br /> y �n <br /> O y <br /> ADMINISTRATOR 1�G1�i��1� �.t1 C L�` �= PHONE N0. Cn ?��'�' �' "�L�C <br /> VALUE OF WORK (do not include taxes) <br /> �for commercia work <br /> USE OF BUILDING j�I� �v F I 1'-�=• '' � ' � � � <br /> NOTE: WAC 296-46-140 requires that plans for electrical wor.k at educational, <br /> institutional or health care facilities be approved by the .State of <br /> before a�City Aof1Everett pexmit will be issued show the State-approved plans <br /> i,_�1., . <br /> �� WORK TO 8E DONE: <br /> � ll���1��LL � .T l: �i� }� F'Ut � )t- � PG�� <br /> � �''i <br /> -- <br /> j �_:� . . <br /> 1" <br /> �� <br /> '' ('�'� �/ _ � . DATE I �- ,�1� ' �I U <br /> ��+I 5IGNED • '� <br /> 'I • � +�'�'fl�Ll �R�i II':,�; � <br /> NO'ES APD CONaNENTS: <br /> \ e <br /> 6/10/87 <br /> 1928H <br />� _ _ .. __ <br />