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� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB AD�RESS <br />TENANT <br />� � 14: � �' <br />( <br />DATE: �(9� —`�—� <br />FEE: �.S"`� <br />/ ii�j cJ � G r�� v P� y%1 R l i GC%c4 <br />_/��o�'�o (3a :P;� `l�ruflo� ��m 7�»y��L <br />fia�rvor� �- CVJ-ao <br />ELECTRICAL CONiRACTOR /vQCbrrr� � �wv <br />LICENSE N0. IV�� �CJ 1-T f3'� C x '_ EXPIRATION DATE ��i/89 <br />ADMINIS7RATOR �/�r. (p ,t7. Na l sm�. PHONE N0. 613 Y SJ ti 5.a nLo <br />VALUE OF WORK � a DD °'L (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires <br />institutional or healt <br />Washington. Applicants <br />before a City of Everett <br />WQRK TO BE DONE: <br />that plans for e_lectrical work at educational, <br />h care facilities be approved by the State of <br />with such jobs must show the State-approved plans <br />pexmit will be issued. <br />Ser re�,r�„ Posr w;� f��J�o,-u ►�,u,� 5w So,. o.K sr�,�� <br />C ti h a 7fn i Lw T o 5 <br />SIGNED : �QeAYrI'j,�� DATE �O/�% g� <br />'�'v <br />NOTES AND COMMENTS: <br />6/1Q/87 <br />1928H <br />