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CITY OF EVERETT r� OATE: A V C� L� I l'J��i <br /> t1ECTRICAL WIRIDIG PE9MIT APPLICA7TON FE�: 3-�-G'b <br /> �cs acoREss �I'6/ � - /s,' s'c E��_�.E7T � <br /> TE�ANT <br /> PROP�"..rZTY OWNE-2 � E V A/�1 �.4 S /�r�� �A IJ <br /> EIECTRICAL CONiRACTOR �yCL C L lE�"�'« � 3���''GES <br /> L:��.`:Sc ��:C. �XCE[F.! / 2 Z CLf E:(P�4ATICN DAT� �L ��c! <br /> ACMINISiRATOR -�. >_..l� PHONE N0. �I�l'l - � ,`� 7 <br /> VALUE OF WGRK (do not include taxes) <br /> (for ccmmercial wor�cl <br /> USc OF BUILDZNG 1'/ ,lE r A Z I�CS 1 faEN c� <br /> NOTE: WAC 2°6-46-140 reauires that plans for electrical work at educational, � <br /> institutional or health ca:e facilities be aoproved by the State of <br /> Washirgton. Apolicants with such jcbs mus� show the State-=pproved plans <br /> befor= a City oT Ever=tt pez-iit will be issued. <br /> WORK TO BE DONE: <br /> �t <br /> SIG�IE� J� S/�j DATE � �2 3 -•8 � <br /> PIOT�S ANO CC?^MEJTS: <br /> 5/10/37 <br /> 1:Z'_H <br />