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3- ° <br />cirr oF �En oarE: % 0 � <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: iZ � <br />�os ao�REss _ �5 a l� �6dY/l s i <br />r::�,;:.._ �6f� rr��S <br />�-1�;;NExrr owN� .S'�,, e <br />E1E'�TRICAL CONTRACTOR Yi�1Cy�S ���C% � <br />I_ICENSE N0. QN��E �n� / EXPIRATION DATE /�-9 D <br />ADMINISTRATOR ��,.� iv��i�?�Y PHONE N0. /.i,f%- �!%!`,S^ <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING �_�, ?ecv�.0 fLit YJr�✓ f%vvJ-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 />Washington. Applicants with such jobs must show the State-spproved plans <br />before a City of Everett pennit will be issued. <br />WORK TO BE DONE: <br />SIGNED : � DATE v�( T� <br />NOTES AND COMMENT . <br />6/10/87 <br />1928H <br />