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1.3 <br />iN.,.A. <br />CITY OF EVERT DATE: _ Z6i- <br />ELECTRICAL WIRING PERMIT APPLICATION <br />X6 ADDRESS I OL_ Sc� C-ULe,2L \ jv\�a[I Wv C,::� <br />TENANT nAreK-1 - <br />PRCPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />r" _LtiC <br />ELEC. CONTRACTOR'S MAILING ACCRE:. <br />LICENSE NO. ,' &:!5QL /ve EXP=RA`0N DATE <br />ADMINISTRATOR J04,u S. KJ,3�L PHONE NO. (o%D`L:— <br />n_o <br />VALUE OF 'WORK , o0o ' (co not in <br />clude taxes) <br />(for commercial work) <br />USE OF BUILDING j [ 01e <br />WA <br />NOTE: WAD 296-46-140 reouireS that plans for electrical 'Nork 2t educational, <br />institutional or heplth care facilities be approvec by the State 0- <br />Washington. Applicants with such jobs must show the State -approved plans <br />before a City of Everett permit will be issued. <br />INORK TO BE DONE: <br />7_f_O1-,z <br />' - T <br />Sv J2 O,iLc5�Ts <br />S /7/4ffkD 2 CDU % Lczi <br />NC7-77 AN6 COMMENTS: <br />DATE /O-!/ S/ <br />