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cirr oF �Err � DATE: !�� I 9��� <br /> ElECTRICAL WIRING PERMIT APPLICATION FEE: j R�' <br /> � ,���5 I 2 � I — P��� F�e. �A-�r <br /> ,��T ��f . <br /> �o�n owr� � ��- � �-N� �5�1,�N i <br /> ElECTRICAL CONiRACTOR �-p�}-� ���ZV(C.� ���[C/ <br /> LICENSE N0. ��Jl� {�{�1'i7[F FL�L-3��EXPIRATION DATE <br /> ADMINISTRATOft � PHONE N0. ZD6 Z9'g'�330 <br /> VALUE OF WORK � � �QZ) • ido not include taxes) <br /> (for commerciaTwork <br /> USE OF BUILDING (�'�Q��/�I ( <br /> �—� <br /> NOTE: WAC 295-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State oP <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: �� n l � I�� � <br /> TT" � ���1 '�;�6 <br /> � <br /> C�/ p <br /> SIGNED : v DATE �—� /" �� <br /> NOTES AW C T5: <br /> 6/10/87 <br /> 1928H <br />