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/ <br /> � � �` r <br /> �� m CITY OF EVERETT �AT�' � Jy� �� ` <br /> � �C y ll � <br /> H ELECIRICAL W7RING PERMIT APPLICATION FEc: <br /> o � o <br /> � y M /� <br /> � � � JOB ADORESS (p� I � G `�PR-r=S S � v� � • <br /> ? � � TENRNT /.�.— ���I� ( Cr/}-t-t S — <br /> M , <br /> � � FROFERTY OWNER SfI-w+c <br /> H <br /> y� N H ELECTRICAL CONiRACTOR L✓OJ O n��A �-����� <br /> �Sov, <br /> � �y ro LICE"l5E N0. Cc.�a�0 �=� S 3 S 0 P EXPIRATION DATE D <br /> O y <br /> y 'U i-�� �,,��p�=z,2p PYONE N0. '�SZ'��l� <br /> ADMINZSTRATOR � <br /> VFLUE OF WGRK (do not include taxes) <br /> (for commercia work � '/ n � <br /> USE OF BUILDING �i��� ����'C �e� <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 /> �9ashington. Applicants �dith such jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> I �-, WORK. TO 8E DONE: <br /> 1 C�X� / ..z�tJ 5 ,-/h,� �o o/+,-�,P 5�=,?��c.� <br /> '�w <br /> ��� <br /> I �� — <br /> I�� <br /> �� <br /> � � Z._ DATE 2- �N /P S <br /> r� SIGNED : �'y+ W <br /> � NOTES AM1� COMNEN S: <br /> �' � �� <br /> +_. <br /> r� �� � <br /> 6/10/87 <br /> 192EH <br />