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CITY OF EVERETT <br />� � <br />DATE• _ , j/!iv T �%� <br />ELECiRICAL WIRIN6 PE7iMIT APPLiCATION �E: <br />JOB ADDRESS � `I� � S � �L c � <? �'-� � �'%.4-�� <br />TENANT L / M �'�r � � �' �i <br />PROPERTY OWNER' <br />ELECTRICAL COMRACTOR �di 'S' ��*'� ���G <br />LICENSE N0. �4/� S� /� / ir �2 EXPIRATION DATE ��o �i G <br />ADMINISTRATOR � o,c, �.,.�. , r�� � s T PI10NE N0. �/J f- d G/L <br />VALUE OF WORK Z fa�"0 / (do not include taxes) <br />(for commerci work <br />USE OF BUILDING <br />G J�<' i�- �: S / �n <br />NOiE: WAC 796-46-140 reGu.'.res 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 />�i s� // 2 - /L ' fi'.a� �S /�.�-� �isl�s ��d l �./i_'<� �� <br />L� T� /7L � / / � tl / G % /' XT �!/tFS P'� S/B�S 1 /�l /�=�� <br />f� <br />� /'u6'fss�� L,S/�s <br />SIGNED /�/ ��/�iL,�71c� DATE �%�%�d� <br />7T � 1 <br />J/Lrry+ /S /'.!/"'i.P.lN J[/��S C/-/.�//[/FS/ <br />Y <br />If�.�/n',�.j �^�,�,-., �` � 2 a ;°7� <br />6/10/87 <br />1928H <br />/�ti/' C/i✓/�-/i4r� <br />