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CITY OF EVERETT <br />DATE: aI�l�f <br />ELECIRICAL WIRIN� P�1IT �ICATION <br />FEE: �'�-- <br />� ���5 3 3 a r� �1.._� <br />TENANT <br />�o�rr ow� <br />� 5 ��,,.;r c� <br />� <br />r"�- .,,.K.,� Cs�-fl o <br />AL CONIRFCTOR <br />f <br />ELECTRIC - <br />LICENSE N0. ��i G K/S C A i 3. �/� EXPIRATION DATE Ce �z �E � <br />�J 53-a�7/ <br />ADMINISTRATOR [�-� Y'� cC�-� PN�NE N0. �o <br />VALIIE OF WORK �� � az �� (do not include taxes) <br />(for camiercia work <br />USE OF BUILDING ��� 1 ! -� � <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. Applicants with such jobs must show the State-approved plans <br />before a City of Everett peimit will be issued. <br />YlORK TO BE DONE: <br />�A"i�E � o� = <br />SIGNED : <br />NOTES ArD <br />6/10/87 <br />1922H <br />