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CITY OF EVERETT DAlE: �9 �l <br /> ELECTRiCAL WIRING PERMIT APPLICATiON FEE: <br /> S�lIO ���,GtK�S'�- <br /> y � H �ae a�oaEss _ r,�/ <br /> � � �' <br /> p � x TENANT ,� <br /> � '� y FROPERTY OWNER _�OI�VQ1�1 �,(�N�i". <br /> K�� ELECTRICAL CONIRACTOR ��(;�`7(�,I�I� /�IP/'i'IYIG <br /> '�t�y� LICENSE N0. S^_�;p_yC _(' � �� �,� EXPIRATION DATE <br /> ��� A�MINISTRATOR ��/ v"{(;On/-,'1�15. PHUNE N0. g��` � /a 7(� <br /> H�g VALUE OF WORK (do not include taxes) <br /> �„ � �for commercia work <br /> � y� USE OF BUZLDING ��)� <br /> Fi H <br /> w <br /> � d y NOTE: WAC 296-46-140 requires that plans for electrical work at eoucational, <br /> ��t, institutional or health care facilities be approved by tFe State of <br /> y y Washington. Ppplicants with such jobs must show the State-�pproved plans <br /> o rn before a City of Everett permit will be issued. <br /> � 'dORK TO BE DONE: <br /> ' �'�� y���� ..�i. .�- loo Cl� ,�a��,y..�n.d� �•,v., � J <br /> ' �� ��� � • - • i <br /> i �� <br /> �� <br /> I��� SIGNED ; i�/`G�,aL�1Y� ,�:c'�'-d� DATE �� <br /> � <br /> NOTES A� CGMMENTS: <br /> ��. <br /> 6/10/87 <br /> 192PH <br />