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� <br /> CITY OF EVERETT DATE: �Z- 1�J-- (� Si <br /> ELECTRICAL WIRING PE�iMIT APPLICATION FEE: 3,S. 0 O <br /> JOB A�DRESS I � S I "t cA c. n � I i u <br /> TENANT <br /> PFtOPERTY OWNER ��� � ,�, I I n <br /> ELECTRICAL CONiRACTOR S�a N ��'�s i- � �e c�fi � ^.� n c_. <br /> LICENSE N0. S C���.� C L �l�"� � (� EXPIRATION DATE �q ¢j j _ <br /> ADMINI57RA,TOR S���q �uv r n PHONE N0. 2 t�� - �9 �Z. <br /> VALUE OF WORK (do not include taxes) <br /> (fur commercia work <br /> USE OF BUILDING C, F, (� , <br /> NOTE: WAC 296-46-].40 r�quires thai: plans fox electrical work at educational, <br /> institutional or h�alth care facilities be approved by the State of <br /> Washington. Applicants with such jobs must show the �tate-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: , <br /> �e01QCn C..SCIS�"i/�q I�U ,/Y SC'TVIG�. �ll / � `QA J't <br /> 7 i <br /> SIGNED : DATE �2_- I�-I' ` �i � <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928hI <br />