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.r _ <br /> CITY OF EVERETT DATE: , � .- � �- �"�� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: ��ob <br /> JOB ADORESS � / �o -� L W , 5��. ✓i_,z � .H f�/� DR. s PA�r � � <br /> TENANT _ <br /> FROPERTY OWNER �' A R L � V✓A 't/1 i K S <br /> T— <br /> ELECTRICAL CONTRACTOR <br /> LICENSE N0. EXPIRATION DATE <br /> ADMINISTRATOR PHONE N0. �3�`(��� <br /> VALUE OF WORK (do not include taxes) <br /> (for corronercia work <br /> USE OF BUILDING ��j(� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities 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 OONE: <br /> /A/STRLt. � Lt� f� rRic�L cJ �'T��_<1No / ov[- R NERA <br /> l � n_ �� r �N S�ToRAG� SJ�Fb IN �� �•� FSS �• 1= CanS7R�cl"� on'• <br /> SIGNED : C.M.a' ✓ �2, ) ¢liJ+��a.�. DATE /��/z�-ST_ <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 1928H <br />