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i <br /> CITY OF EVEREfT DATE: � -z-tc -`� � / <br /> ELECiRICAL WIRING PERMIT APPLICATION . . �E: � �S <br /> �OB AOORESS ( �D �`P . �OCK� �FLLLI:'� <br /> TENANT 11��. 6(ZAO L�v� <br /> PftOPERTY OWNE�2 SHM � <br /> E1ECiR2CAL CONiRACTOR �1 SS m�� <br /> LICE�ilSE N0. �155 M �I 1�{ "� CL EXPIRATION DATE f�- 3� -q 3 <br /> AOMINIS7RATOR p rv� ��SS m�rJ PHONE N0. (o S`�-SLI 2 3 <br /> VALUE OF WCRK y o�°� (do not include taxes) <br /> �for commercia work <br /> USE OF BUILDING ��S . � ��,v,� L�+ <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 of <br /> Washington. Applicants with such ,jobs must show the State-approved plans <br /> before a City of Everett pezmit will be issued. <br /> W�RK TO BE �ONE: <br /> I NS� �\ a�e�r���s ,--�� 2�� I��� -�s� I�ox�s . <br /> _� �tc�l �bAi7C�N'5� .� <br /> � �I <br /> - d <br /> SIGNED • V `1 `------" � DATE � "'Z (v ""�l � <br /> NOTES AND CO�HMENTS: <br /> 6/10/87 <br /> 1928H <br />