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i <br /> ,� <br /> i <br /> � <br /> i <br /> � <br /> � � <br /> CITY OF EVERETT OATE: J�- �0- � `� I <br /> ELECIRICAL WIRING PERMIT APF�IICATION FEE: �_ <br /> i <br /> JOB ADCRESS / 70 �o j./�/,F� .,,E,o� L�� '� _ � <br /> TtiJANT i <br /> PROPERTY OWNER ��n�G'.5 Cd w � �.o.,i.-sTi.� e ToJ <br /> ELECTRICAL CONTRACTOR � c�Z�x .J6�`��y <br /> LICE�SE Nf'. EXPIRATION DATE <br /> AOMINISTRATOR PNONE N0. 6So� - �a3 9 <br /> VALUE OF WORK (do not i.nciude taxes) <br /> (for commercia work ' <br /> USE OF BUILDING S�tiJ�51 eo �'t a ry� i L y IC�N S� �.-�✓�� <br /> r <br /> NOTE: WAC 296-46-140 rei:�ires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. F�pplicants with such jobs must show the State-approved plans <br /> before z Ci=y of Everett permit will be issued. <br /> WORK TO BE DONE: I <br /> �J�'e �. �P_ Po � e v, � <br /> , <br /> ��� <br /> I <br /> , <br /> SIGNED : -- /✓Y�- � � DATE 7" ^ J d — �� . <br /> MOTFS APID CO�dMENTS: <br /> 6/10/87 <br /> 192E1i <br /> I <br />