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� y <br />[�y <br />H <br />H�� <br />FC f] <br />pH� <br />'il M'� <br />N <br />Hx <br />OH� <br />��g <br />� Y (� <br />t"y� <br />gyy <br />�Cd� <br />t��+ <br />HOy <br />6 <br />CITY OF EVERETT DATE: /�� 3G� -�� _ <br />ELECTRSCAL WIRING PERMIT APPLICATION FEE: �' J, J <br />JOB ADDRESS J`�✓�7 % rlC G/i1iiJ /� C� �= • <br />TENANT <br />PROPERTY JWNER rrJ2LlrOh' �/ �7� �i7�ll=�=/. <br />cLEC'fRICAL CONiRACTOR �/�)�t Y-d0 <br />LICENSE N0. <br />ADMINISTRATOR <br />EXPIRATION DATE <br />PHONE N0. ��% � ��X/.r � <br />VALUE OF WORK ido not include taxes) <br />(for commercia work <br />USE OF BUILDING S�/l � lr ��- �''�"' �� `� n G i i/_L !�L' Cr� <br />NO7E: 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 show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />�,�lii2liV�r /�ai' !�2(i7laY S/it/GLC-r1'� ii '� l���i_i�.l�V�" <br />/U C�� �n�! ST.t�i� Tini✓ �i ? i �iI /�o�Z l��=�i�r`+c-L�'<.� <br />SCi2 v � c " � �J ✓v = ! <br />�.' - <br />� <br />0 <br />I� n � '���j�__ DATE /- O-�% <br />' SIGNED : . <br />NOTES AND COMMENTS � �" <br />6/10/87 <br />1928H <br />