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.�_. <br /> CITY OF EVEF2ETT DATE: � �� v <br /> � � <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: �3 _ <br /> JOB ADDRE55 / / �`� ��—�_� �J � � <br /> �/ <br /> TENANT <br /> PROPERTY OWNER � � �,�C C <br /> ELECTRICAL CONTRACTOR d,� NQS I��cl� �Z, ���.c.V l"t�-- -�L�• ` <br /> LICENSE N0. �wy��4,f n'�LIZ-Z,��� I�Ul EXPIRATION DATE <br /> ADMINISTRATOR �L�Q�� � b�co.0 PHONE N0. �S �r �' � �a <br /> VALUE OF WORK (do not include taxesl <br /> (for commercia work � c - <br /> USE OF BUILDING ,�L k. �. �Q-a•.��-�- ' <br /> r F <br /> < <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-appreved plans � <br /> before a City of Everett permit will be issued. <br /> . WORK TO BE DON : � <br /> v� cjd ��n� � e.��<<�, <br /> SIGNED : �� _ � N" DATE �`���� ' S�7 <br /> r <br /> NOTES AND COM�+�ENT • <br /> 6/10/8? <br /> 1928H <br />