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; <br /> _ -,, <br /> i <br /> � <br /> ; <br /> ��� CITY OF EV�2ETT � OATE: / / � Ze�^�/" <br /> � � I <br /> ���e ELECiRICAL W] iNG PERMIT APPLICATION FEE: G�� <br /> e <br /> ��� JOB ADDRESS �cp D � �-�/t�il c`G� l`f U C <br /> �■o <br /> N TENANT ' <br /> Q�� FftOPERTY OWNER �r \ G![1 L^ <br /> �y� ELECIRICAL CONTRACTOR \ � <br /> t�o LICENSE N0. L L� ( 2 L P EXPIRATION DATE 7 - 3 / - 9(� <br /> �� ADMINISIRAT0.R ��_ Q/t PHONE N0. � S y� � `L/�9 l <br /> �� VALUE OF WORK � (do not include taxes) <br /> • - - (for commercial work <br /> USE OF BUILDING L.\`crj�, c S//C�� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health ca^e 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 /> . ��� <br /> WORK TO 8E DONE: <br /> f ��� ��s� // l� ��s C��' 3� 2 �a v�, /�-- <br /> I �- <br /> I � <br /> � � , <br /> � /� <br /> � (,C� l��_—�? t w � !/s - Pc � <br /> I _� � <br /> � �� <br /> I ��1 SIGNED : DATE �����-D" ^�� - <br /> NOTES COMMENTS: <br /> � 1�( <br /> 6/10/87 <br /> 1928H <br /> � <br /> � � : <br />