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r <br />CITY CF �VERETT <br />ELECIAICAL WIRING PfRMTT AFP ICATIO� <br />JCB ADORE55 <br />r�NaN�r <br />� <br />E! EC nICAL C��NTiiACTOR ��O � <br />F <br />f <br />oarE: ��oZ � :s ,., -� <br />l i(� <br />/ FEE: (�� l�_ <br />4 (/ <br />� �21�G� /3/c <br />� �� <br />G / v � C <br />LICEuSc N0. �� d/r� �1`�� �� EXPIRATION DATE <br />AOML'JISTRATOF. /�0 5,a v T /� �r. :�c— PNONE N0. �/ '- 7 %�� <br />VRLUE OF WORK � / ,� J �do not include taxes) <br />(for commercia 'work ' <br />r / <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans `or electrical work at educational, <br />institutional or health care fzcilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />befor= a City of Everett permit will be issued. <br />/ / G� <br />�- '_ � <br />SIGNED : �%� �� Q�.�_,_�_DATE / ��� <br />MOTES API� C0�4P1ENT5: <br />5/10/87 <br />192211 <br />