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CITY GF EVERETi ^ DATE• � ` � �G � `S <br />ELECiFiI�AL WIRING PERMIT AFPLICATIOy FEE. <br />�oa anoRess / 5 a oZ /?�.qD � S�itJ <br />7ENANi <br />�— <br />PROPERTY OWNt7� L i� � G /%2 Uv/'z � �d/iJ5 %.. <br />E1ECiRICAL CON7RACTOR �� G� n/ 5 �� C �<. <br />LICENSt N0. �«--�N�=N i� 7 i3 3 EXPIRATION �ATE ✓��O <br />ADMIN75TRATOR !J � N '�-f c=/1 �..iA �v �,7 c=�L PHONE N0. �� 5 /� 70 <br />caz> <br />VALUE OF WORK %��} (do not irr::lude taxes) <br />(for commercial work <br />USE GF BUILDING � C S. <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 oP <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Eve*ett permit will be issued. <br />WORK TO BE DONE: <br />o2�z> rin /J Sc� ���� C h���- -e <br />SIGNED :��^�'�'I 6��`'=--'� �-�-�•� DATE I l' �� —.� Y <br />NOTES AND COMMENTS: <br />6/10/87 <br />1922H <br />�_/-��,c��— lJ,a. <br />���- �, DN �� �_ ��-,-c� <br />,.»�-...,.N,,.>..�..._. ___._._.,�......_...,..- <br />