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H�� <br />t7 C17 H <br />A � <br />H <br />yC H <br />t" H C/, <br />H E �9 <br />3 a- <br />K n <br />CITY OF EVERETT <br />DATE: l <br />Q I <br />H �U <br />h0f H <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE: <br />m H <br />H CC <br />�y <br />H C)O <br />JOB ADDRESS <br />TENANT r w i <br />Y + <br />z H <br />Hy <br />PROPERTY OWNERtj <br />CA <br />o Cy InELECTRICAL <br />CONTRACTOR <br />yHN <br />LICENSE NO. 91Q �C(Y <br />S�OSOff EXPIRATION DATE !c •-'^— <br />r3 o to <br />ADMINISTRATOR r�i,Niru� <br />D'WI �-'� � PfiONE NO. <br />'L9rJ--$ft6 i- <br />VALUE OF WORK gpQ <br />(do not include <br />taxes) <br />(for commercial work <br />USE OF BUILDING <br />A <br />NOTE: WAD 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 />�y before a City of Everett permit wi'l be issued. <br />sl,I WORK TO BE DONE: <br />SIGNED : DATE <br />NOTES AND COMMENTS: <br />7 i <br />6110187 <br />1928H <br />