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CITY OF EVE�ETT <br />ELECiRICAL WIRING PE�MIT APFLICATION <br />�C9 ACCRESS <br />Tc�ANT <br />L <br />DATc: ( -? - j�'% <br />?n <br />FROFEi�TY OWNER F� i PM "� h+ �i �L$ � n�a q t.? n n r'�-.i <br />I J / <br />E1ECIRICAL CONTRACTOR _�P �, (� �f;_}� r �, �-� �'; �_ <br />LICE�SE N0. <br />ADM2NISTRATOR <br />F��: "� 5. o� <br />S���-� �1 � L I�-�-"J ��, �� EXPIRATION DATE � �{ Qj � <br />Sbl G n P iC �'.� � �� �� r/� PHONE N0. '� S�- �� Q�? <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING (`C S i �� P.n � i rn � <br />NOTE: WAC 296••46-140 reyuires that plans for electrical work at educ2tional, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants •�+ith such johs must show the State-approved plans <br />before a City of Everett Fermit will be issued. <br />WORK TO BE DONE: <br />� <br />�P-\ni�r2, ��f�, C�c.r,a�c_ C"' li���x I;'r1, �I <br />J �- <br />SZGNED : �/%i `�. / J�'i :��._ DATE �� "� - ;-'.� <br />NOTES AhD C0��IMENTS: � �� <br />6/10/37 <br />192°H <br />