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CITY OF EVERETT <br />� <br />DATE: � � Z� � - �c� <br />ELECiF2ICAL WIRZNG PERMIT APPLICATION FEE: � S<<� C-7 <br />JOB ADDRE55 Jc LO 1 S w� � M�� P� <br />TENANT K A"�� 6 A��J A"�'�'� <br />FROPERTY OWNF32 v F�� � <br />ELECTRICAL CONiRACTOR S� Fl� �"�L� 5 � ��-E C-� � C' <br />LICENSE N0. SEA I-f"GlE I lLi�l (�� EXPIRATION DATE <br />ADMIN.ISTRATOR S\�W-N l= I� M�� ��� PHONE N0. Z 5�[) � I��rU 2 <br />VALUE OF WORK N' � A (do not include taxes) <br />(for commercia work <br />USE OF BUILDIIJG R�`-� ���NGE <br />NOTE: WAC �96-46-140 requires that plans for electrical work at educational, <br />institutional or health care facil.tties be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />. i�U t2.tiJ� fJ <br />L51 <br />� �. <br />SIGNED : <br />AND <br />O�t7 P/�-nJ �-� �•✓� � <br />� <br />0 2. <br />- " DATE � � Z�f-Y�`7 <br />"� �t/I�C C R2 L �L'li�i1/ �CY�'�.� `i <br />�iioia� <br />1928H <br />A <br />