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� � <br /> CITY OF EVERETT ^ DATE: ,j������ <br /> O <br /> � ELECiRICAL WIRING PERMIT APPLiCATION FEE: S� <br /> JOB ADDRE55 I�f/ y �-o n-���„��7 �)v'E . <br /> TENANT � <br /> ' R�OPERTY OWNfft �, L L 0 U ��� M Fl o✓ <br /> ELECiRICNL CONTRACTOR TT.�M • � L�(�T/�� � <br /> LICENSE N0. fDM E L�r�c JS�I Q� EXPIRATION DATE ��3D/ �J� <br /> � <br /> ADMINISTRATOR FHONE N0. 7 7�—G ;j�/� <br /> VALUE OF WORK �� (do not include taxes) <br /> ' (for commercia work <br /> USE I]F BUILDING � C Sl� .D E�y GE <br /> NOTE: WAC 296-46-140 requires that plans for electrical worfc at educational, <br /> institutional or heaith care facilities be approved by the .State of <br /> {4ashington. App_icants with such jobs must show the State-approved plans <br /> ber"ore a City of Everett permit will be is_=ued. <br /> WORK TO BE DONE: �G�� . <br /> 1Jr,'Si r��L '1 UO r)��-)F 5��,2t/ �7r�J� �E��I��2 <br /> l,U�'/��'/l�� 1 � 13r)SEM t✓VT � f ('�'i4 Gv'I�7�� <br /> ,�� ,�i � <br /> SIGNED : �� Y� .y�`, � DATt /� 9� <br /> � ,� <br /> NOTES AND COMMENTS: � ' � <br /> i <br /> , <br /> ; <br /> I <br /> 6/10/87 <br /> 1928H <br />