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� <br /> w�ll r, � <br /> CITY OF EVERETT DATE: ,�; ;, � , ;; <br /> �r� 0.ECTRICAL WIRING FEZrMIT APPLICATION ' Ft=� � S��v <br /> 9H <br /> A�1S <br /> C z9� �C9 ACCRESS ' " " <br /> y YH <br /> '� y� iENANT <br /> r <br /> � v�i r�+ FROPEriTY OWNE�2 `� i I 1�%' �,r . ' <br /> �1 O C�+ E1ECiRICAL CONiRACTOR 1�1� i :� r i. � i I' : i �;� <br /> Hl7 <br /> O H <br /> � �g LICENSc N0. ' ;;, ;.. � , i: .- , EXPIRATICN DATc `�,) �;:: <br /> c�� o <br /> ay� ACNINZ57RATCR j)�i ,� � : 1,; , i FI'ONE N0. <br /> r H y VPLUE OF WCRK ;;r„ , (do not include taxes) <br /> g �'H (for cemmercial wor;cl <br /> � d� <br /> t�� USc OF BUILDiNG ;i, , , I <br /> H O fyi� <br /> NOTE: 'dAC �96-46-140 recuires that plans for electrical work at educaticnal, <br /> instituticnal or health care facilities be acproved by the State of <br /> Wa=_hinotcn. Ppplicants with such jcbs must s`,cw the State-aporoved plzns <br /> before a Ci�y cr �verett per.nit wi'_1 Ce issued. <br /> �"' �' 'dCRK TO BE QONE: <br /> 1' <br /> �� I�� i �i �- r , . - �� i . .. <br /> � / � � <br /> � `' e � . <br /> ��,� <br /> w�� <br /> � '4' � <br /> ����� <br /> SIGNED : %'� � ; � I� .' � � � i DATE <br /> �.�,� NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />