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� <br /> ��- , <br /> CITY OF E\'ERETT DATE: ,-7-�j- /L� <br /> ,, <<� <br /> x r� ELECiRICAL WIRIMG Ftr'3MIT APPLICATION FEE: =�L <br /> t�7 ni — <br /> 9H <br /> C�H <br /> S+h� i �' � <br /> �-t"+ 93 .i02 ADCRESS :�a�� .T�LAc'�? �iZi�b'r � �:E��� �.i{ <br /> y zH ' <br /> '� y� TENANT Tin �.�U✓L7V) <br /> o xo <br /> � c~n H R�OPERTY OWNER <br /> � o d ELECIRICAL CONTRACTOR �Ui"�/]�(,� ���� <br /> O H <br /> H �g LICENSE N0. �'VE,(��'S -L I I o`L�-.� EXPIRATION DATE <br /> �'" � ') <br /> ,l_ i/,�, �i,��,��, ,�s �i �' <br /> � y AOMINiSiRATOR ri FHONE N0. , �� � <br /> r H y VALUE OF WORK ��?j�V (do not include tax: s) <br /> g �'r, (for cor�nercial work <br /> c� C�n <br /> � t�- � USE OF BUILDZNG ���, �e� f� <br /> z y rn <br /> H O fn • <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be �cproved by the State of <br /> Washingtcn. Applicants v:ith such jebs must snew th� �tate-;pproved plans <br /> before a City o` Everett pernit �,vi11 b� issced. <br /> �'�"" 'NORK TO BE DONE: <br /> �.� <br /> �������1 � _ <br /> 6�r `°' <br /> i <br /> > .:� — <br /> i -O <br /> ,� <br /> 4 � <br /> a <br /> �. .�„e <br /> SIGNED : :`iyi��/j'( /Z ' � � /�i�l� � _ DP.TE „(�� ��_ <br /> F � � <br /> � <br /> I NOTES A� COMMENTS: <br /> .. ( � 1517t5 � 1115 �i-1�� <br /> I nl �I <br /> lJ U F,�nR i ���o <br /> __............................._...._._. <br /> 6/l0/87 CIT1' OF EVERETT <br /> pnLlic Works DePt. <br /> 1928H <br />