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i � � <br /> CITY OF EVERETT DATE: ^� '3 � g� <br /> E1ECiftICAI MIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS ��'�S i'�F1Ca�l <br /> TENANT AJF1.1 `�1J,L'�'. <br /> �o�rr owr�x 1J��..�c.v N� �lz� � �. 3 I o�s, <br /> ElECTRICAL CONiRACTOR �1�T SV STt�vf t <br /> LICENSE N0. D�sTAS #- I�y D A EXPIRATION D�TE <br /> ADMINISTRATOR �A111 � 12GE41 Q PFbNE N0. 7'��� �f��7 <br /> �ALUE OF wORR�p � �ZC�7� (do not include taxes) <br /> (for commercia wo k <br /> USE OF BUILDING ���� �C <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutlonal or health care facilities be approved by the State of <br /> Nashington. Applicants with such Jobs must show the State-approved plans <br /> bePore a City of Everett permit will be issued. <br /> WORK TO BE DOrE: <br /> �tMPe��?�� Ceu'Tae � Zo �E,rr �P��.p��. <br /> M��ts (�_�ht� F1A�JD �_ ben�� LenP T��.T�•�•� - <br /> SIGt�ED : pq� � <br /> NOTES APD COMMEN ; <br /> 6/10/87 <br /> 1928H <br />