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CITY OF EVERETT <br />ELFCTRICAL WIRING FE�MIT APPLZCATION <br />OATE: ��. �_%'SjT/ <br />^ r: f �: <br />F"cE: <br />JC9 A�OF;ESS � � L �-� c% �-�C 1' l� [l!,'i 1� <br />TENANT �CL21��� �l AI'�� -- <br />FftOFERTY OWNEri �L�l�l <br />ELECTRICAL CONTr�ACTOR � 1'� S �L E C� � IZ � C <br />LICE�5E N0. �OS�L I J�\ �� _ EX?IRATION DATE �- ��Qi, <br />AfJMINISTRATOR �ai-UIJ1Z�7 C� �%1 � ��IS�� PHONE M0. �75- �����J�_ <br />VALUE OF WORrC ido not include taxes) <br />(for commercia work) ' <br />USE OF BUILDING S i f�} (� l.i, ��1� <br />NOTE: WAC 295-46-140 requires that plans for electric�l work at educational, <br />institutional or health care facilities be approved by the State or' <br />Washington. Applicants with such jebs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />VIORK TO BE D�NE: ,� <br />SZGNED : ���J�'J ✓� DATE /��_ <br />P!OTES APID CCt4�1ENT5: �- <br />6/10/87 <br />].922H <br />