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CITY OF EVERETT � DATE: S���� <br /> F1EC7RICAL WIRING PE�MIT APPLICATION � • �=� <br /> .7C8 ADDRESS '/ q[� u ��o� �/2tir�� <br /> TuuANT �� j i O Ip �-�- �/L�S l4 / <br /> FROF�TY OWNE4 ' � ` ` <br /> t: <br /> ELECiRICAL CONiRACTOR �G �hCA 9�- � �,, /J/'� Ir'/1%1'i� <br /> � � <br /> LIC�VSc N0. %�/�yj p � L� /J-S E:tP?RATZC� DA i� — <br /> ,:� � AOMINISiRATCR ��/J/2[C�iJ � �%J2.tiG/T �'ONE N0. 3 3 'J-3 CO � <br /> VALUE OF WGRK (do not include taxes) <br /> (for corr�mercial wcrRl <br /> � <br /> USc OF EUZLDING �p�S C <br /> NOTE: WAC 296-46-140 recuir=s that plans for electr_cal work at educaticnal, <br /> institutional or health care facil=ties be acproved by the State of <br /> Washirgtcn. Applicants with such jcbs must sho�N the State-approved plans <br /> beTore a City or Everett pe�it will be issued. <br /> WORK TO BE DONE: <br /> ,�c'� o � S' /2.12 V( C�� � c,v /42_!`'` ,!/L3� /�oc,6 � <br /> SIG�ED : �. , '� DATE �--/n- �'� <br /> NOTES AN� CCMNE^lTS: <br /> 6/10/87 <br /> 1922H <br />