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cirv oF e�Err <br />ELECTRICAL WIRING PF�2MIT APPLICATI�N <br />�oe aooREss <br />oa�: �� 3// ����� <br />T Q�, <br />. FEE: � <br />?�-/� i'h�'�oc<5�L— . <br />PROPERTY OWNER �,,(/(il / 7'� ( /f�+� <br />ELECIRICAL CON1ftACTOR ➢ Sw � L�CT%% �� - <br />LICENSE N0. � c-(� L L �. EXPIRATION �ATE ��Z��_, <br />ADMINISTRATOR O� � i� ��e 0 S �<� PNONE N0. ��,� -) J C) ( <br />VALUE OF WORK (do not include taxes) <br />(Por commercia work <br />USE OF BUZLDING ��,S � D�`�i���'r <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 oP <br />Washingtnn. Applicants with such jobs must show the State-approved plans <br />before a City of Everett pezmit will be issued. <br />W�RK iU BE DONE: <br />Y I <br />SIGt�D �� �C��P-L� � DATE b 3� %l�i� <br />—T <br />NOTES AND COMMENTS: � R �a {1�I I � I �/ '� /� C � }�4�C1� � ?ti,� v�ticS^ <br />Y� ��e�l.�'-_ <br />s <br />6/10/87 <br />1928H <br />