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CITY OF EVERETT <br />EIECTRICAL WIRING PERMIT APPLICIITION <br />J�B ADDRE55 <br />TENANT <br />�oP�rv owN� <br />DATE: <br />� zz- ,? <br />FEE; ZS. Uo <br />gZ�y x�v�r�,�y - <br />�,�;� a,�� pr�Ro� <br />EIECTRICAL CON7RACTOR IM L ����y �� �'�� �' - <br />LICENSE N0. iy � G/� i� y7 y L/= EXPIRATION �ATE Z- L 9- s�/ <br />A�MINISTRATOR (.cl• % �<<' �'vij� PNONE N0. Z S 2- S� e y� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING S% � <br />��� instit tion l�ore he lth tcare Pfacilities e bect app oved r byatthed Statenaof <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 />uJ/�/-" /�-DDrr�o�V - — <br />/ �/{ J' /l- J �2 % - O uJ - /,i/S - /�iL`/<T �- /f w T Cy/�1 C u/T S <br />30 � U � D� O/�/-c��.c..E L / <br />SIGNED : <br />��� . �. p f�f�— oa� �' — z Z—� � <br />� <br />NOTES AFD COMMENTS: <br />6/10/87 <br />1928H <br />