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� <br />;t <br />�; <br />CITY OF EVERETT <br />QECTFtICAL W7RING PEN.�IIT APPLICATION <br />�c.c.d� ko3l- <br />JOB ADDRESS <br />Tf"NANT <br />DATE: � ��� <br />�_ <br />FtE: <br />s <br />FROPERTY OWNER C�; �� C�� � ue.-� fF <br />QEC7RICAL CON7RACTOR (./„ ,' ��, �T�• ��-; o., J.-c� C�o r c � NC _ <br />LICENSE N0. U= �{, �TL►,�d7�.Q, EXPLZATION DATE <br />AOMINIS'iRATOR G e�� N I i q �"� �,� �, �C Fh;ONE N0. <br />��5- 3 y/C <br />bLVALUE OF WORK (do not include taxes) <br />(for co�nmercia work <br />llSE OF BUT.� DING Sc' w r,- �; �/� S�q �%o.l p�,-„ <br />#'� / �;.,r� W� <br />NOTE: WAC 296-46-i40 requires that plans for e.iectrical work at educatfonal, <br />institutional or realth care facilities be approved by the .State of <br />Washington. Applicants with such jobs must show the State-�ppruved plans <br />before a City of Everett pennit will he issued. <br />WORK TO BE DONE: <br />LI�/71/�J/!� ^%(:Ji'. �^' h� �}-I .]/�/��d�.. i7�f'�c.- CUOr� iS l-O T��QrC <br />SIGNED : <br />NOTES AM� C�i <br />6/10/87 <br />192EH <br />DA7E 6 l��� f <br />