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CITY OF EVERETT DATE: � %� �J �i� <br /> yc�H <br /> �i9 y ELECTRICAL WIRING PERMIT APPLICATION FEE: _ v� U C <br /> C�H <br /> ayti /�-, F� <br /> H �H JOB ADDRESS /�C7� � T�1C��{� � I ��'�' <br /> � H� TENANT �, ..-�, � C'S�'7� <br /> H �[�" PROPERTY OWNER ��'i^0 I /7 Pil i— � <br /> � '�"H d ELECTRICAL GONTRACTOR �it(�F/S "l- �lC"� / + � C �' — <br /> ��� LICE?JSE N0. � '1 � P� EXPIRATION DATE <br /> L� � r. P����^-.y <br /> � H� ADMINZSiRRTOR —;t�I�(;' (.f - Y!'/l=< 'r�---"' PHONE N0. �j� -'���[�_ <br /> my <br /> VALUE OF WORK Cdo not include taxes) <br /> N <br /> o Ccn (for commercia work . <br /> � �� � USE OF BUILDING �E� S l r��/� /� �C "1 �� � ' ` <br /> H O fn <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. P.pplicants with such jobs must show the State-approved plans � <br /> before a City of Everett permit will be issued. <br /> '�. w.' WORK TO BE �ONE: , <br /> ' "� ' ; � <br /> ��(� �C ���2 ,�Xl i C' �/'iC" !�t � �;tr� �� .,��� ,,,� �� �,✓� -� _�/i��il <br /> i�� � ��'i(� � � �rc-n��75 _ ' <br /> ''.�� � �;.,,r..�_ _ <br /> I� � <br /> � —" � <br /> ���� � �� <br /> � <br /> �. . ._ .( , rr� � I <br /> ; `1 �� i� :,� — i <br /> � <br /> � SIGNED : DATE i <br /> i <br /> � '`�� NOTES AND COMMENTS: I <br /> I <br /> 6/10/87 <br /> 192�t1 <br />