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,-. <br />CITY OF EVERETT <br />ELECTP.ICAL WIRING PERMIT APPLICATION <br />� <br />. --�/ <br />DATE: Oy�6��� d <br />T <br />� FEE: �j �j � <br />TENANT � Pr i�1 fi .//� � � <br />FROPERTY OWNER j'Y� f� �ii'�t Z, <br />ELECTRICAL CONiRACTOR �-� L(/ � L L—� <br />LICENSE N0. �;S w L`� � 1 pX L f' EXPIRATION DATE � o�//�/$' ff <br />ADMINISTRATOR �O�i� �'� �-R-o D$oy PHONE N0. '� (o�- 7'7p � <br />VALUE OF WORK (do not include taxes) <br />(for ccmmercia work <br />USE OF BUILDING <br />�fi�L-'- <br />NOTE: WAC 296-46-140 requires <br />institutional or healt <br />Washington. Applicants <br />before a City of Everett <br />WORK TO BE DONE: <br />that plans for electrical work at educational, <br />h care facilities be approved by the State of <br />with such jobs must show the �tate-approved p.lans <br />pexmit will be issued. <br />_ VP��'r'�Dr' ��=�C'Vl�t 1�1���,.� (aol�.�� �O <br />„COO � vt�P- T'�l� FHl9i U�J - LO�yS — <br />SIGNED :��L� r�/G��� OATE a y/o �/ Q�� <br />� <br />NOTES ArA COMMENTS: <br />6/10/87 <br />1928H <br />