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CITY OF EVERETT OATE: l � ' � I <br /> EIECTRICAL WZ4I�\G F�MIT AFFLICATZON F'c=: <br /> JCB ACCRE55 /� �- ��i�'i ' �' 1'� l 1� ( �-r���- Y��'( ',. <br /> TcNANT -,���`i� - <br /> FtOP�'�-2' 1'Y 0'dNE� �"I1ClYt"I Ir���l�t'`� � <br /> �ECTnICAL CONiRACTCR /� + ' ��'( �11'l�: ��•i �, � I <br /> f'11�E � �-� � <br /> / c7iVEG3o7D5 <br /> L_TC�NSE N0. ( ,�(;�� ��� EXPIRATIGN DATE S 7 <br /> ADMINI57RATCR ��' ' - -i . > ' ". FHONE N0. � _ � <br /> VALUE OF WCRK (do not include taxes) <br /> (Por commeni work <br /> USE OF BUILDING � �t�lt�� n 1`-s��+ � lC 'h("� 1 � <br /> NOTE: WAC 2°6-46-140 requires that plans for electrical work at e=�cational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such jobs must show the State-app=�ved plans <br /> before a City of Everett pernit will be i;sued. <br /> WORK TO BE �ONE: <br /> �1��, � �X�,�,- � < < i;<� << <br /> �.t�C ' - i 1 � �..-. . ,�• �('(•, <br /> .�X�'� �t 1 l'li��) . <br /> � � <br /> SIGNED . /ll�Yi `� ���-i�1 � � oaTE ���,'� � ' �� <br /> NOTES AIvD CCM�1E*1T5: <br /> 6/10/87 <br /> 192PH <br />