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�„,,, `. <br /> CITY OF EVERETT OATE: ��, I( 0/ -L� �� ( <br /> � <br /> �'.LECTRICAL WIRING PE2MIT APPLICATION Fc�: ��__ <br /> �os aoeREss .�n�� ��,t e �Csr� _ <br /> TENANT lr�.�, �<-���r i ����-,.r ��- C�O. �J� �Z�F �/ C�i. <br /> PROPRTY 0'NNER ���(a/�w ) <br /> ��T�� <br /> 0.ECTRICAL CON7RACT�R �/�./Q,Scli] � ✓�lX�j/-yr(_� <br /> �ICENSE N0. lJll�l X[�.�/4�h C'� EXPIRATION DATE ��T_ <br /> ADMINiS7RATOR 1 C/1/-�72Q �TC�vT',Z- PI-I�NE N0. ���/� <br /> VALUE OF WORK � /�/�'y) � _ <br /> (do not include taxes) <br /> (for commercia� <br /> USE OF BUILDING �/(� S� rsr /�S� l w <br /> NOTE: WAC 296--46-140 requi_es that plans for electrical work at e=ucational, <br /> institutional or health care facilities be approved by the State of <br /> Washir�gton. Applicants :+ith such jobs must show the State-app=�ved plans <br /> before a City of Everett permit will be issued. <br /> �RK TO BE DONE: <br /> . K� �G�'� �- �K �a-��-J 6iv � .� , / <br /> �a � C'�c�m. �r,Fc� <br /> /ls�r ri•�� o v �-i /1�1�� <br /> � <br /> � <br /> SIG�ED : <br /> ��, oarE � • <br /> NUTES AND CO Tch13h� <br /> 6/10/87 <br /> 192EH <br />