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CITY OF EVERETT DATE: �7�/�z� <br /> ELECIRICA� WIRING FEnMiT APPLZCATION FEE: ' �-!`� � <br /> „ce aocc�Ess yL�O Y,a„� �r � � �- <br /> Tr.NANT ��r � �� � � 5 ot - <br /> WOPER7Y OWNER S�� � <br /> ELECTRICAL CCNi�i ACTOR 'L/ ��'�c ( /=(e cZ .�'i o wZ � �"�- <br /> LiCE�Sc N0. �//I/ / 'T/= F_ U° �7'L /�4 � EXPIRATION OATE /D f,so /90 <br /> ACMINI57FATGR J3P /��n r �o v.. � c.r FHONE N0. �"j S_� � dn �� <br /> VALUE OF WCRK �do not include taxes) <br /> (for ccmmercia worK) ' <br /> USE OF 6UILDING �G SICP � c <br /> NOTE: WAC 296-u6-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washirgton. A�plicants with such jobs must show the State-aoproved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: „ <br /> - Z� yoo � <br /> / v� o vcc� cr s ¢ rvtG�- <br /> �c r .v � c e. � � � f{e�2 h.i o��«rs � <br /> / <br /> SIGNED ��.-�,I �� -..o.c / DATE �.Z ���r� g <br /> MOTES AP� C0�1"ED�TS: <br /> 6/10/87 <br /> 1?2eH <br />