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i <br /> � ,� <br /> CITY OF EVERETT DATE; <br /> ELECTRICAL WIRING PF3iMIT APPLICATION FEE; 13 S <br /> JOB ADDRESS 17'0/ �Y'CGc yi�e w� �,q h P <br /> 1ENANT <br /> PROPERTY OWR'fR i,�4 V e �i Q I <br /> ELECIRICAL CONiRACTOR � � � /��eGT/ � <br /> LICENSE N0. � � I5D � G EXPIRATION DATE �9 <br /> ADMINISiftATOR PHONE N0. 33c.! US7 <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING ,s/ncs�..o "t'�4'lyii� /�eS <br /> NO?E: WAC 296-46-140 requires that plans far electrical work at educational, <br /> institutional ur 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 pezmit will be issued. <br /> WORK TO BE DONE: <br /> �w's1oD �.,..1� �sprVi � � � �/i.� � u/ 6�. �✓Hw <br /> SIG�D : � pq7� �r <br /> r�orEs a or��rs: <br /> 6/:0/87 <br /> 192EH <br />