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� <br />CITY OF EVERETT <br />0.ECTRICAL WIRING PFRMIT APPLICA7I�N <br />,70g ADDRE55 <br />TENANT <br />FROPERTY OWNER <br />r�. <br />� <br />DATE: pJ �5 �� / �I� 7 <br />FEE• �i�J % � <br />�y i r� D/= � uc�2r YJ- <br />/J � oF �c)�2erT" <br />ELECTRICAL CONTr�ACTOR <br />LICENSE N0. �iC�-� �.+E�'_ ?_PS`l�p EXPIRATION DATE ��1,.�,Te� <br />ADMINISTRATOR /� l l� f}� i,/C FHONE N0. � ya - a� o`� <br />e� <br />VALUE OF WORK .�.$� O (do not include taxes) <br />(for commercia work ' <br />USE OF 6UtLDING �% - s�J ��6 �1zv�n�.�S <br />NOTE: WAC 296-46-140 requires <br />institutional or healt <br />Washington. Applicants <br />before a City of Everett <br />WORK TO BE DONE: <br />that plans for electrical work at educational, <br />h care facilities be approved by the State of <br />with such jobs must show the State-approved plans <br />permit will be issued. <br />�OD�!-iC�f-no.JS rc> w� Fxi�n.✓G ��.HP��J6 Jrr.4nv�.S <br />if�t n.7ELJ �L/'��c/CR�! /h� N�GJ ScJ2GG-� /ZE� i,Lc�� <br />�t W� i'�inJ 6 aY �ESeXv o�� <br />SIGNED : DATE ///3'"�e°7 <br />NOTES AND C AMENTS: <br />ti/10/87 <br />192811 <br />