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—L. ,� C�/ <br /> CITY OF EVEiETT �ATE: _ <br /> ELECTRICAL WZRL'JG PERMIT APPLICNTION �''� ! <br /> FE � . <br /> y (�H `/ �\ <br /> � �y� �CB ACCRESS \\� � �C��/I � [N`� \ �.r.- <br /> �1 y <br /> y y y TENANT -,- v . � <br /> � <br /> H �H FRCF�TY OWNER GC�c <br /> � H� ELECTr2ICAL CONTr2ACTOR T c�-' `�\ r� � \ ` �� �7 � c �-+ti� . _ <br /> VJ H l7 /!Gi-�^ C_`� � i <br /> yy. LiCE�SE N0. -�`�"3-'-���F'�' EXP?RATZCN DATc � �.'/ �n3c,r�t1 <br /> ��� � PHONE N0. � � �� - _i �J� <br /> O H ACMINI5IRATGR -�" 1�C.�i c, ��'v <br /> ��g VALUE OF WORK ��Clf� �- �do not include taxes) <br /> N <br /> 7 H (fOL CO��RI2ICldl WOI'k <br /> H <br /> g N y USt OF EUILD?NG 5���2 � r' T-� i\L �-�c- �vt � <br /> M <br /> C] Cy fA <br /> Q <br /> �'� NOT�: WAC 29E-4G-140 requ±res that plans for electrical work at eGucationa , <br /> �o� institutional or health care facilities be acprcved by the State or <br /> Washington. Applicants with such jobs must show tl-,e State-aoproved plans <br /> berore a City of Everett per�nit will be issued. <br /> � <br /> � WORK TO BE OGNE: <br /> i � <br /> '_� � _ I.L>�_� - � 7 � . Q � �I�J I� <br /> � <br /> � <br /> C�- <br /> I �� <br /> �'� <br /> 1 � \ l <br /> SIG�ED :�-���\ T�l �%^rv�c•�^ DATE T� � - <br /> NOTES At� C0�4MENT5: <br /> \ <br /> 6/10/87 <br /> 1922H <br />