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�.t.:'�. <br /> ci7v oF Ev�iErr oarE: ��3d /��i <br /> ELECIRICAL WIRING FERMIT APELICATION <br /> FEE: �-� ' S_/ <br /> _ /�1 <br /> JOB A�DRE55 /DO �V E.G.F T T A LL <br /> 'r�uariT �lt�'n A �D Z�! N <br /> FROPEr2TY OWNR tJ ! h-+ //�A�A�//iJ <br /> E1.ECTRICAL CONiRACTOR _S %/g�USs ���TR ic Ac, � /✓STi _ <br /> LICENSc N0. S%J�DUG C� �� +� R V EXPIRATION DATE <br /> A�MINISTRATOR Cfj'/�rK ST�dUlS PHONE N0. o'{�y�'lv ,��.3 <br /> VALUE OF WCRK �Zd OD �" (do not include taxes) <br /> (for commercia work, <br /> r <br /> USE OF BUILDZNG � GSTAUR �'lV� <br /> NOTE: WAC 296-46-140 requires that plans for electriczl work at educational, <br /> institutionai or health care faciLties be approved by the .State oi <br /> Wash?ngton. Applicants with such jcbs must show the State-aoproved plans <br /> be`ore a City of Everett permit wi11 be issued. <br /> WOfiK TO BE �ONE: , <br /> �EPFI� %Z. !�i�i iv6 t�f I�?fl G F� /N GL/�F�' <br /> SIGNED ��I�li7l�f �����' DATE ��I - <br /> NOTES AI� COMMENTS: ' <br /> 6/1C/87 <br /> 1522H <br /> , <br />