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CITY OF EVERETT <br />ELECTRICAI WIRING PERMIT APPLICATION <br />DATE: � —S� � <br />�e aoeaEss S�l 1 D �11�i-�Q,��Z�' ,g-�, <br />TENANT <br />FE� �S � <br />PROPERTY OWNR _�AiS kJ 1� � � . <br />0.ECTRICAL CONiRACTOR L.��i-%�D R� �7�%�I�PQI S� �� ti� <br />LICENSE N0. I,.�C� � � I�.�-� �-�' Q� EXPIRATION DATE �-�.2 — f� g <br />ADMINISTRATOR PHONE N0. / 7� % 3`�� / <br />VALUE oF WORK (do not include taxes) <br />(Por commercia wurk <br />USE OF BUILDING ��l �E'�✓%% �' �— <br />NOTE: WAC 296-46-140 requires that plans Por electrical work at ecucational, <br />institutional or health care Pacilities be approved by the State aP <br />Washington. Applicants with such jobs must show the State-app=�ved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : <br />NOTES At�ID <br />6/10/87 <br />1928H <br />-r�-� r. ➢ow�-� Po Z� J�'��, �— <br />u� �v 8� �va�� ��v Td, K"�1t LZ�'cTk� e <br />OATE �'� S `g6 <br />