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i <br /> CITY OF EVFRETT DATE: 1 -S�-cP� - <br /> �ECTRICRL WIRIP�G PEi�1ZT APPLICATION FcE: oZ� -� <br /> • a � <br /> ,09 ADORE55 /� 7 7 D �� r� � �jn 5 ���e ve �P r�� <br /> T'NANT F v 1�c vic �-. �da�Q � <br /> ?ROP�TY OWNER _. ��w4w�I I � YCw'L � <br /> _ECTF2ICAL CONTrZACTOR ���Pr'� � �� -�e�' ��t��"�' �- — I <br /> "�cNSc N0. I��= �� 1C E � � a 5 Co EXPIRATION DATE � - � �J' -�'y <br /> ` tf F kl� �r+oNE rro. s�+s-�s-ir/8��- �s�s- ; <br /> A7MINISTRATOR E/(�c ✓h ��Se�r I <br /> VALUE OF WORK � ��. �� ,oG (do not include taxes) I <br /> (for commercia worK! ' I <br /> L'Sc OF BUILDING 1 � - FR`M� � <br /> NO�: 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 wi.�h such jobs must sHow the State-approved plans <br /> befure a City of Everett permit will be issued. <br /> WOaK TO BE DONE: � • <br /> , � <br /> II <br /> � <br /> SiGNcD : � DATE I' S-�P I <br /> NOTES AND COMM 5: <br /> �� � J�.. / o2�.oc lc�n� Cus�-(��cJ- inc�.ic��v�5 F�X�•Jc�/ <br /> ��� �02d b� �'�l a�d5:� Et'u��5 CeiT �tr aid�- <br /> F � —�' Gp <br /> /�`. ,. � �-- -�Cv- C..QC�1 � ►d�to�- �Prrv�i � ��S !• I <br /> �.,JiVi OS <br /> 6/10/87 i z��4/57 �0 <br /> io�BH <br />