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�rr� rr� <br /> CITY OF cVQ�ETT DATE: �U 2C <br /> � i' <br /> ELECTRICAL WIRI�G PFRMIT APPLiCATION FEE: �_ <br /> �;3 NOCRE55 S / ( g S FA✓ E � c.i c� f1 Y F✓T � <br /> TENANT <br /> PROPERTY OWNR !J L✓c.t�S <br /> ELECTRICAL CONTr7ACTOR GtJ vo 0 i=olt� �` " "7t�C <br /> LICENSE N0. /�U o(�n`-� 3 p D f EXP?i'.?TION OATE _ _ <br /> ADMINISTRATOR �D�W .� ,,op�4�4..�U _PHONt N0. Z `S Z - $��_ <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work ' <br /> USF, ui- BUILDING f t,�-. � . <br /> NpTE: WAC 296 'a6-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washirgton. Applicants with such �cbs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: „ <br /> T� .�./� <br /> SZGNED : ✓!� � ^ DATE �U/2 G �y � <br /> MOTFS AP C�4MENT5: <br /> 6/10/87 <br /> 1�2PIi <br />