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CiTY OF EVERE7T 0.4TE: �/(r/, <br /> �_ �" ) <br /> ELEC7RICA� WIRING F£RMIT APPLICATION FEE: <br /> �OB A�CRE55 / / � J �i//�iUL/l �i�J jC� ,�Os,'p �U/`fT <br /> TENANT <br /> FROPERTY OWNE� �-f S Fit��.E'/�RiSES C ��l� ��i� ��/o.�`P� / �'L.�,d <br /> ELECTr2ICAL CONTRACTOR (�)�Z���� �,.x�� <br /> LICE�Sc N0. � /� EXPIRATiON DATE <br /> I <br /> ADMZ�ISiRATGR ��� FHONE N0. �j� - r�,��� <br /> G �. <br /> VA�UE OF WCRK (do not include taxes) <br /> (for cortmercia work) • <br /> USE OF BUILDING ��j� �1 <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 /> C� �/ � y> � � / J <br /> �J �/.JU ��� � L"/vC'�( /7 l'/ / /��J/ rC/J CCr •, <br /> �p�.� � �) �9?�n» <br /> � `; � / <br /> SIGNED _1/r�-<.,;�, �./.�i,'��%/ DATE ��:i<: - /L'; I <br /> � 'i' <br /> r!OTES ArD CCr�r�E��TS: <br /> 6/10/87 <br /> 192�H <br />