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CITY OF EVERETT �ATE: �� ��j��� <br />ELECTRSCAL WIRING PERMIT APPLICATION � FEE: IO% � <br />JOB ADDRE55 I�; O' �5 � V S/� �. 7? '�� � t l l L-� ft 1� <br />� <br />�NANT �f /�.T�i iL v S �_ <br />FROPERTY OWNF7� F'. L� c 2c T /✓1�� <br />EtECiRICAL CONTRA( TOR �,� V S I,��� 2: /i � i IZ� �r -1--`� C <br />LICENSE N0. �n� n. �� �, F/ z; � J<%a EXPL4ATIGN DATE Z Z 5'� 9�) <br />A�MINISTRAT�R �L��� �S �� _� FHONE N0. ?.L1 (, � J7( '�/�DU <br />VALU= UF WORK "- v, �� (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />�� <br />NOTE: WAC 296-�6-140 requires that plans for electrical wcrk 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 Eve:ett pPzmit will be issued. <br />WORK TO BE DGNE: <br />�_4 �% T'<, ,i :"�vt P 2 Ct/ c.�'<.v �.� <br />/� � 1' <br />SIGNED : ,� �'„�, f C, �'=. <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />DATE U ' �/ - � 5� <br />