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CITY OF EVERETT DATE: o� - � � —' ? � <br /> ELECTRICAL WIRING PERNIT APPLICATION FEE: <br /> JOB AODRESS � �/ �P ( d/6�-v/✓i i? l G�l.ti�� <br /> IENANT <br /> n <br /> PPOPERTY OWNER , /:`� 1-t'/�/ <br /> ELECTRICAL CONiRACTOR � �y�Si n.' �-.°ti,�✓�c- <br /> LICENSE N0. G� � F // .�3/L GL EXPIRATI�N DATE /�Q - 3/-'cS'S <br /> ADMINISTRATOR 1��F-w `�'�`�- PHONE N0. .� .3 S��3 S � <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING /cQSGa��tiC� <br /> NOTE: WAC 296-46-140 re uires that lans for electrical work at educational, <br /> 4 P <br /> institutional or health care facilities be ap�roved by the State of <br /> Washington. Applicants with such jobs must show the State-approved plan� <br /> -" �- before a City of Everett permzt will be issued. ` I <br />' WORK l'0 BE DONE: ( <br /> � <br /> �� (J1) A � T oiov✓�c�-Q� <br /> 1-�a a » r-� ,,�'�cc=— <br /> SIGNED : hh�2�c-i� /G ���-w DATE � /�0 -��J I <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />