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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />DATE: // - /3 -- 7 0 <br />FEE: <br />JOB ADCRESS NOZ 5E. &Veld V <br />TENANT Nf'V_(L"J 21izµ I tS 1� E-t-ER-S <br />PROPERTY OWNER -PAtJ1C A5/ <br />50c, ( Qb?e'�/11M-I-1 <br />ELECTRICAL CONTRACTOR RI lVr<atJ In1C <br />LICENSE NO. 'jEf1" NC 3zFy DC. EXPIRATION DATE _ 'Z 2Q <br />ADMINISTRATOR 5Tr-✓� 7-3&V&t') PHONE NO. -76-S93q <br />VALUE OF WORK 2 F0 (do not include taxes) <br />(for commercial work <br />USE OF BUILDING �OMr� c26 I�2 <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 -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />�NST,*LC 11 <br />) INT <br />IDdZ /L.LUMVMATt'o <br />'St NEdN <br />S/�N W / 7N <br />CfYb'lNFr <br />RELE� <br />/Np-D <br />I �- <br />SIGNED / DA7'c <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />MD <br />NOV 13 1990 <br />CITY OF EVERETT <br />Bldg. Permit Counter <br />