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CITY OF EVERETT ^ DATE: y�2�(6� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> �OB ADDRESS ✓��� — ���J'�h.ovr L,4ii/ � <br /> TENANT <br /> FROPERTY OWNER �'/e�., ,�-,. . �.�d� <br /> ELECTRICAL CONTRACTOR �,�y,� /�y� �„P <br /> LICENSE N0. �[��`3-j�m �^p yJ��Oe/� EXPIRATION DATE Q=�rj <br /> ADMINISTRATOR .�ihG�i Al�..�Ufi PHONE N0. <br /> � <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> � <br /> U5E OF BUILDING ;�ss� �j.�„��. <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-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO DE DONE: <br /> SB<-G,�-.H1 �1��� w- <br /> —r <br /> SIGNED : _��,,�j�� ��iGr,�/ DATE �2P���r/ <br /> NOTES A� COMMENTS: <br /> 6/10/87 <br /> 1928H <br />