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-� i-, <br />CITY OF EVERETT DATE: ��- I Z-� � <br />EL.ECTFtICAL WIRING PERMIT APPLICATIO.N FEE: <br />JOB ADDRE55 � Wg--�T j�pO�sc� N <br />TENANT ' L�c= � �--o�.��z� ��r�p.�e2 �U <br />FROPERTY OWNER joM� <br />ELECTRICAL CONiRACTOR S�c� �E �� �_�L «� <br />LICENSE NU. S��i,,� 1�k � GA EXPIRATION DATE S-�c o <br />ADMINISTRATOR N�� �y�����-> PHONE iJO. �-C�3-o�-t54 <br />VALUE OF WORK ��o = (do not include taxes) <br />(for commercia work <br />USE OF BUILDING �CstUE�_� <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 must show the State-approved plans <br />be�ore a City of Everett permit will b� issued. <br />WORK TO BE DONE: <br />f�� o �f�E� E e � � c�F"�p-�'E V{� � T,� t�� �'.�TS <br />�'R�M "\-�Wvv�T.�CQ.._� Cl�.\ S �hl Gx\ST'1NG� <br />l�V'PL.F �... <br />SI6NED ; ��-Y � -�' DFTE �-( - 12 ��Y <br />NOTES A�'�D C , MENTS: <br />6/10iF37 / <br />1928H \ �� .� Sv� �J <br />T�n� ���o�, 2�4'-�s�ro <br />