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' i <br />CITY OF EVEhETT ' DATE: v'� <br />ELEC1FtICAI_ WIRING PF3�MIT APPLICATION FE�: <br />JOB AODRE55 ����-( l^✓, (�Ltti' �2� C,/��1�, �; g�o,3 <br />�Nr,Nr ocun��Z <br />PROPERTY OWNER IGF(/�� /1NR7 �ALL�I L�1S' <br />ELECTRICAL CON7RACTuR ✓^idN�R <br />LICENSE P:O, <br />EXPIRATION DATE <br />ADMINISiRATOR PHONE N0. � S� y�0 � <br />VALUE 0� WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILOING �E $ I D�-tC E <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or 7ealth care facilities be approved by the Stat2 of <br />Wasliington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett pernit will be issued. <br />WORK TO Bt DDNE: <br />���G�At�� Ey�'TRrC S�12V�«r T�7 p�']'�'l�r� <br />GAR��'� /c✓oRlc SNor'. <br />E1�YSTlN�i 1 ��/�MP CK'r IIJI/ <br />/.IEkI — 3(�/1MP �°`�Dl/ SvL�/°4HEL <br />UI��� CRou,�+� c,�f7c� <br />SIGNED : ��� ;i �� ��(,L�� DATE �p �'� <br />� <br />NOTES At�A COMMEtJTS: <br />6/10/87 <br />1928H <br />