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r� �-- <br /> CITY OF EVFRETT DATE: .S' I � ` ��I <br /> ELECTRICAL WIRING PFRMIT APPLICATIOIJ FEE: 3 �. Q� <br /> JOB ADDRESS 32. I 0 O a IGS <br /> TENANT /I o n� <br /> FROPERTY OWNER � e � r„nt.i t'�o !>. Nl . naaen �fi' <br /> ELECTRICAL CONiRACTOR =S e a � �. r a� � �ec'}'. :fi n G <br /> LICENSE N0. S � �- i.�u r z �.� R n EXP7RATION DATE �q 5 Q <br /> ADMINISiRATOR S In �n k� t\ ci bv�r n �NE �• 2 �R — � 8 Q�'Z <br /> VALUE OF WORK � (do not include taxes) <br /> (Por commercia work <br /> USE OF BUILOING S,�(�_ <br /> NOTE: WAC 296-46-140 requires that plans Por electrical work at educational, <br /> institutional or health care Pacilities be approved by the State of <br /> Washington. Applicants with such ,jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> � n �U r� P�.i c'�i na S C'rtt i c� W t'{'� 2--0 0 � <br /> SIGNED : �i°!!/..,:�1_�� �i DATE 5 - 1 �- �9 <br /> NOTES AND COMMENTS: `� <br /> 6/10/87 <br /> 1928H <br />