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F'�t P��..e <br /> cirr oF �Err oaTE• �b"3�" �S <br /> ELECiRICAL WIRING PFRMIT APPI.ICATION �E� <br /> JOB ADDRESS �v ��J S�e�U ''N at ✓ � - <br /> TENANT -�— <br /> PROPERTY OWNER• i�nn W E r I�'�� /�N � PS / ,'vl tti. <br /> ELECTRICAL CON1FtACTOR G..a v- F S ����(' w'� .� "yl d s(l0 ( e �'L S <br /> LICENSE N0. .- /Y1 EXPZRATION DATE � �� � <br /> ADMINISiRATOR !/i's .G Y'/� PHONE N0. �?y l�-J�� <br /> VALUE OF �YORK ,-�i� � . � (do .iot include taxes) <br /> (Por commerci work <br /> USE OF BUILDING �Ila �� ����' - �G I"' , ��� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the .State ot <br /> � Washington. Applicants with such �obs must shov+ the State-approved plans <br /> before a City of Everett pexmit will be issued. <br /> WORK TD BE DONE: • <br /> ��,� J �UPw ,�� ,� 1 � � � ,� <br /> ,�� � � ��'6`�'3/� �`8' <br /> SIGNED : DATE <br /> NOTES AI�D COMMENTS• . <br /> 6/10/87 <br /> 1928H <br />