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..�� <br /> :� <br /> : �, ►'� <br /> , <br /> CITY OF EVERETT DATE: �' .3=�q <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: 2 T� <br /> h7�� ` <br /> C�7 <br /> ��y JOB ADGRESS /(Z /,� / � �� r���.. • �i� <br /> yyV� <br /> H �� TENANT nP �n � lV�n��t d F/✓���,nc•n - Y,/n Il�,, ��Pl..�uir <br /> `� y� FROPERTY OWNER S il I P �r i- I���I A it �I <br /> i <br /> � v~i r�i ELECTRICAL CONIRACTOR 7p n�„� � c (�,_, [�/�P�i <br /> y r � <br /> � y d LICENSE N0. EXPIRATION DATE <br /> � �� ADMINISTRATOR PHONE N0. �_SS — ��'� ' <br /> 4]v C: <br /> z r-+� VALUE OF WORK �SG � (do not include taxes) <br /> r �z lfor commerciZ workj <br /> !-+H <br /> �'H USE OF BUILDING Dfy-(`�PbN�.+u <br /> � �y �_T <br /> � �t'� <br /> z �a v�i NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> y ��' institutional or health care facilities be approved by the State oP <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> � WORK TO BE DONE: <br /> � �.�� /`nHn�c� t � r u., 7r�_� l�H �� pGu,ilt2ZP�� — <br /> � � , <br /> � <br /> E � <br /> 1.,,�, <br /> r� <br /> � <br /> s' <br /> ��I SZGNED : - � //��,1�— DATE ��`� /�� I <br /> I <br /> NOTES A CO?iMENTS_ I <br /> �t � I <br /> i. •-� <br /> 6/10/87 <br /> 192P.H <br />