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CITY OF EVERETT DATE: d d X ,, <br /> CS�� <br /> ELECiRICAL WIRING PERMIT APPLICATION FEE: ,�j�-- <br /> JOB ADDRE55 '� J 6 fi 5 i�G!` SQ/✓ <br /> Tu�ANT �/��.'Jti% <br /> FROPERTY OWNER � ro j3 cs E R/Lfi • <br /> ELECTRICAL CONT'�i ACTCR � �Ct�,!'G�-�/1/ � <br /> LICE�:�G N0. j�j-w�/� I y�{ L �- EXPIRATION DATE �L�� <br /> ADt4INI5iRATOR �n j;�/Z'� d �S d /r/ FHONE N0. �/-^k,�j^ '7 ) v J <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING �J�S J S D t,(/C�- <br /> NOTE: WAC 296-46-14Q 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 Sta=e-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> _ SL=�UIC� VPG02Y�Dt i�0 � �� �1� ����' <br /> F�,� r�n rt /����� - 12 K � <br /> Rk���LL <br /> SIGNED ; �(Y-fiu✓' ��l?i�-- DATE O __ <br /> T-- � <br /> NOTES A�'D C0�4MENT5: <br /> 6/10/P,7 <br /> 192?H <br />