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CITY OF EVEr�E i-f DATE: /''� �„ 7 f7 `-J <br />ElEC7RICAL WIRING FE�2MIT APFLICATION Fct: <br />�OB ADDRE55 (� D [� G=cun r2 � (7i^ . <br />'(ENANT � �,�ti� `�� /� <x <br />.� �� <br />FftOFERTY OWNE� <br />ELECTRICAL CONIRACTOR !'V� T!ti S 4�,"P �(�v ��j-,'L <br />LICENSE N0. ��Q%/f�/3 �/%L EXPL�ATION DATE p �/j�� 3 �� <br />ADNINISTRATOR /�w-w rd �,,,�, ,�� PHONE N0. �/�'l -/ ��f� <br />VALUE OF WCRK (do not include taxes) <br />(for commercia work) <br />7 <br />USE OF BUILDING `��� t,' �� i.. c. <br />h'CTE: WAC 2°6-46-140 requires that plans for electrical work at educational, <br />ins�itutional or health care fzcilities be approved by the State of <br />Wa=_hirgton. Applicants with such jebs must show the State-approved plans <br />before a City of Everett pe:mit will be issued. <br />WORK T� BE DONE: <br />��-C`-'.D �'�""� �-Pr'✓.'�p 1����-`=1� — �(/-.�.� ����i <br />n Q � �� � � <br />/[ <br />SIGNED : �s'"'�� ��'�'""'_�� DATE `�c+--L 7, ,� I <br />NOTES AND COMMENTS: .�// <br />� �! � st�-� �- �ci� c,.-�i,''�"'"" � �u � — LG`<:� � <br />�` <br />��Z �-��;- Ui Gf j �l S�%��'-G-(� — (""".�.'-.��C , <br />eiioia� <br />1922H <br />