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We <br />T 60- 40 7 <br />CITY OF EVERETT DATE: 2 7 / •�' 9 <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: S lo�) O <br />\ 7D5 SRUJ �15�116\ tt-)csL-5m4 OFIVaU (plc°lt ToMNu.A-,v_ <br />JOB ACCRESS <br />TENANT C Sc. An f. iY16,psi C— <br />PROPERTY OWNER 1U u - } <br />ELECTRIC~ _ CONTRACTOR /76,1y1, C/L S — G 7/ ! <br />LICENSE NO. 7UL) C-E G J3 1 PA EXPIRATION DATE L <br />ADMINISTRATOR l /l�/ f12NiI SA2 ( PHONE NO. . Zs J_ - 216 7 <br />VALUE OF WORK SU (do not include taxes) <br />(for commercial work <br />USE OF BUILDING /Z c 7-4 , L ---;A LE <br />- s r - ms-5 <br />L(e wti- <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 muse show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : <br />6/10/87 <br />1928H <br />x! <br />DATE Z <br />