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�. <br />� <br />CITY OF EVERETT DATE: i 7�.IUNC_ �� <br />ELECiRICAL WIRING PERMIT APPLICATION FEE: <br />JOB AODRESS 4�j�� /�/ A�,�,c !L �I U E <br />TENANT <br />PROPEFtTY OWNEI� /Y� ITG h �AV! 5 <br />0.ECTRICAL CON1FtACTOR C7/9L fluc.-� c ��SSC> �i/�'rE.S � nJC <br />LICENSE N0. �f9�/a�,/.��-/q�c>9�, EXPIRATION DATE _-�jT�f�� <br />ADMINISTRATOR ��C19/-Mp v STc�ivr� PHONE N0. _�?�� �31 ry <br />VALUE OF hORK ido not include taxes) <br />(for commercia work <br />USE OF BUILDING 1'���,17r.a.�CG <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educaticnal, <br />institutional or health care facilities be approved by the State of <br />Washir.gton._ Applicants with such jobs must show the State-approved plans <br />before a City of Everett permit wilY be issued. <br />WORK TO BE DONE: <br />SIGNED : �� _ , .A DATE /'7 _�/�r/F �� <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />