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. _ ...._ -.:t <br /> i � <br /> I <br /> y ✓�., <br /> k <br /> f � ' <br /> w f <br /> I <br /> I <br /> I <br /> i <br /> � <br /> i <br /> �`- «`.,� <br /> . . , �_MwPZG�;::-.�.'.. . <br /> ��� �; r,. ^ <br /> a � } oaTe: �/��% i <br /> s CITY OF EVERETT <br /> C' <br /> � � ELECTRZCAL WIRING PERMIT APPLICATION FEE: <br /> �I�� ��o�-� / � <br /> p��� .708 ADORE55 ` � r � L L �N�17i,' �' I t A r� L 1 't'/� �'� <br /> l+J� , / / n J <br /> p f+ �NANT /�/a/< �l � '� s P /�/�7�� )`Fs�/' c [ �.-�i <br /> 4� FROPERTY OWNER c�Clt )7 _ScrR�/,v�l <br /> �y ELECTnZCAL CON'fr�ACTL�R �� ,�/,(' /S � E���'� !%'/� �-•�,/-'- , <br /> G � <br /> M LICE�St N0. c��N��p� _ � y�_ ,j"'� EXPIRATiON OATE <br /> 5i� — <br /> � ADMINI57RATOR L cl� %h�� P r o�' FrouE No. �5�--(o GS S <br /> y � <br /> o� VALUE OF WORK /(,• �Sp — _�do not i�clude taxes) � <br /> � (for ccmmercial work ' <br /> USE OF BUILDING ,E3�iN9 L' (�N� L o� � <br /> NOTE: WAC 296-46-140 requires that plans for electric,l work at educat=onal, ' <br /> institutional or health care facilities be approved by the State of , <br /> IVashington. Applicants with such jobs must show the State-zpproved plans <br /> � <br /> before a City of Everett permit will be issued. <br /> ', ��' <br /> , i _ WORK TO BE DONE: „ <br /> 1 �_1 �7'1S �A // /�EL(� �7'(��l� J � .SC�/Cl�/�4 70��7NP. '. <br /> � � �� C(S Su �,-, o �i E �7�-��r � o � �FX/ s �i »� c�t' c7�•elcilL <br /> � �� <br /> ' �' ,� f tr '7�� <br /> � � - <br /> I�� <br /> ��1 <br /> ��� �y ^ ��^ ��-d.C�� "� G � <br /> �.��� SIGNED : I 1� /�'+�i�Cz����-�-` DATE i rP' <br /> , � i <br /> li MOTES AND COt1�tENTS: <br /> I � � <br /> � <br /> 0/10/87 , <br /> 1922H ' <br /> I <br /> I <br /> Ii ' <br />