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� II <br /> CITY OF EVERETT DATE: 9 _ / � �G� 7 I <br /> ELECTRICAL WIRING PEAMIT APPLICATION FEE: o�j�� I <br /> JOB ADDRE55 �J f 7 oL�,.,./(;i a <br /> TENANT �i.,�.�,P <br /> R�OPERTY OWNER � <br /> �4.�FL�G ��� ,.�a �r� <br /> i 1 <br /> ELECTRICAL ��NiRACTOR ,�Y r�,�-,(a��,-i L � �, <br /> 0 <br /> LICENSE N0. �J� �L � fi � �I�l(I� EXPIRATIQN DATE ,5-,3)��ff <br /> ADMINISTRATOR �i ,.-v /yJiS/✓�� PHONE N0. 3.3L�//33 <br /> VALUE OF 'ACP.K �do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING .t�� �i D <br /> / <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 /> Washington. Applicants with sucli jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> //1 1 ot �l�ii /�`��P.S �. �z �G�-P �nSrrr.Gf �/oo� <br /> � <br /> SIGNED : l� i '�t.��.,,_ �, DATE 'rf-/ 7 - �7 <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />