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� <br />CITY OF EVFRETT <br />i <br />DATE: <br />ELECTRICIIL WIRING PERMIT APPLICATIOfv FEE: <br />JOB A�DRESS 11%OZ C_��ET'T �if}ZL L✓�/ <br />7ENANT C�} 5 E)/ S <br />FROPERTY OWNEi �7/E�ETT /I�f}"1-L <br />ELFCTRICAL CONTRACTOR' ��j� N�ry �/.�C, <br />LICENSE N0. �IZ(u/ /�fC 3S'�/ ,QC EXPIRATION DATE C� / QS' <br />ADMINISTRA70R ,j""zi� �/2/U�� PHONE N0. 776—gg3� <br />VALUE OF WORK �' (o �S� �� (do not include taxes) <br />(for'commercia work <br />USE OF BJILDING e p� ,y �fLC�/rL ` <br />NOTE: WAC 296-46-140 requires <br />instil:utional or healt <br />Washington. Applicants <br />before a City ot Everett <br />that plans for electrical work at educaticnal, <br />h care facilities be approved by the State of <br />with such jobs must show the SCate-appr��ved plans <br />permit will be issued. <br />WORK TO BE DOtJC: <br />INS7'� Kt�2r '1'1BE �/�N fi?' S7a2E �...nM{ (C� <br />OF S7aR� 5%OF /.�/,`iLS ,�MD /N � PCAtES /�/ C6�1NG <br />� <br />� <br />SIGNED : �/ V'��^ '"V i . � DATE : �I6 g <br />�' <br />NOTES APA CON,MLNTS : • - . <br />6/10/87 <br />1928H <br />