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H CO^ <br />�9H <br />C=�S <br />C H <br />9HV1 <br />y z3 <br />OSO <br />H H <br />CIS <br />HM8 <br />0 • 09 Hi <br />r, z <br />Oy <br />H <br />nCti <br />zHy <br />H ow <br />CITY OF EVERETT DATE: l - <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRESS z/ / ? 0 S Oy7 H 7_H X-9 0/LE'7 / W/i . <br />TENANT <br />.vA <br />PROPERTY OWNER dulLC/I 6�4mhc- S <br />ELECTRICAL CONTRACTOR CI R k_)C <br />LICENSE NO. <br />EXPIRATION DATE <br />ADMINISTRATOR PHONE NO. (n7 d (ill�5 <br />VALUE OF WORK _(do not include taxes) <br />(for commercial work <br />USE OF BUILDING <br />NOTE: 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 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 />hqa— aoO rvrV SCr, C,,CC %p ,Kex)14CC Gxr,S nrrG <br />o f'VZyo S� n rcE <br />SIGNED : 4 <br />k DATE <br />NOTES AND COMMENTS: <br />6110187 <br />1928H <br />