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l'ITY OF EVEF(ETT <br />DATE: J�/[��/ /' �9S�I <br />ELECTRICA� WIRING �ERMIT APPLICATION FEE; �� <br />JOB A�DRESS �� ��-'' C` W �!-3P� r/� `>�e.Y I) ,L t�i PJ�c-' i" % <br />TErJANT <br />Fft�iPERTY OWNER � �/�;1L.J� /. �1�JE'T 1' <br />ELECTRICAL CONIRACTOR ,�/F.� .G� E• (-: 7�' � [` <br />LICENSE N0. <br />ADMINISTFcATOR <br />�'//CvE s> l: � C' i EXPIRATION DATE !/ -"�c - (%'�j <br />�D/�Sr /Yi ��i �C C PHONE N0. / i-_ - <br />%� � / %� /, <br />VALIiE OF IVOFK (do not include taxes) <br />(for. comme.rcia work <br />USE OF BUILDING � % %� <br />NOTF: V1AC 296-'a6-140 requires that plans for electrical work at ecucational, <br />institutional or health care facilities be approved by the State of <br />Washingtcn. Applicants with such jobs must show the State-appr�ved plans <br />before a i:ity of Everett permit will be issued. <br />WORK TO BE DONE: <br />I !?cC'L1 ;'�et'v�c^ <br />� C�/i <br />SIGNED : �(['�/�t' �C' %�� ti'�-��1.� ,-,�' DATE .Ti'LY //r i� T <br />/ � <br />NOTFS AND COMMENTS: �. �=� <br />6/10/87 <br />1928H <br />