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i <br /> CITY OF EVFRETT DATE: ��J � � 7-' �7 <br /> ELECTRICAL WIRING PERMIT AFPLICATION FEE: <br /> J�B AOORESS �—I�O 1 �LS �-�'���� <br /> l ENANT �Q(�j� � �`�LC�V1 ta� �0.-1/��l <br /> 1 a' <br /> PROPERTY OWNR `� �,�,�A�\ �� e�..����_Z�n�4..-- <br /> ELECTrZICAL CONTriACTOR <br /> LICENSc N��" � �M ( l��! j Q S� I EXPIRATION DATE ��g� <br /> ADMINIS7RATOR ��D� �(j�(1 p 1� FHONE N0. �na, � Z-{ L.� � <br /> r <br /> VA�UE OF WORK � � , p D (do not include taxes) <br /> (for cortmercia work ' + <br /> USE OF BUILDING ___{�-�� I��Q (�1Lla� � <br /> � <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such jobs must shcw the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: P <br /> ' S l UA�vin.tnl.. � ✓i- ' .� <br /> , . � <br /> �, ' <br /> ! <br /> SIGNED : . n ��Q� (� DATE /� �' o� � — 6 � <br /> MOTES AP� C0�4P1Ei 1T5: <br /> 6/10/87 <br /> 192E1i <br />