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CITY OF EVQETT DATE: ��I�I� � <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: a-S� <br /> ;;OB ACDRESS � <br /> i ��' C� �'� '��,.�t�'` <br /> TENANT � <br /> FROPERTY OWNER �. C�a1.r.�P t� cf ,(�ir� LGna C�C..� <br /> ELECTRICAL CONIRACTOR �,/-L�%�n ��-l'�+-..�c� <br /> LIC�P!SE N0. 7� S '7 F��= EXPIRATION �ATE "�i �'3 / �:s� <br /> ADMINISTRATOR _�r3''rG�'/�L_ �v,. PHONE N0. � S L — G l 6 9 <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING _t��` °� <br /> NOTE: WAC 296-46-140 requires that p'ans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Wa�hington. Applicants with such jobs must show the State-approved plans <br /> Gefore a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> GLrLGi'.�-flf d`h-z C«<�C % ��'%C� iGc— </��.o,x .�-c��n <br /> , <br /> ��,�'C �Y,>.�.' ,�cz ��e..b�a Q ->,.�-�.G(_`-L'E� _-(.'-�?�- �-w-vLc�� <br /> ,� , <br /> SIGNED : y�i'���'� ��-.�->-�s ��� DATE vI `�I S' �S� <br /> NOTES AND COMMENTS: <br /> 6/iC1;87 <br /> 1522�I <br />