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CITY OF EVERETT DATE: 5/'�C) �� <br /> ELEC'fRICAL WIRING PERMIT APP..ICATION FEE: 1 � $� <br /> JOB ADDRE55 3 3'�� S"T 'C ti - "� <br /> TENFINT ���q,�c'�n c,t�•r � •� � <br /> PROPERTY OWNFA /�, // 5 Z'�c c`L / .-+ �-�;T, i-.� c �:Z" <br /> ELECiRICAL CONTRACTOP. � i�i i 7-,- ,� l'� z, � T -� — <br /> LICENSE N0. �'��� T-�= = e i•y� na L EXPIRATION DATE /p �'� �/a' `1 <br /> ADMINISTRATOR � ��� �/' - (( PHONE N0. 3 ,- z q'�/l <br /> VALUE OF WORK/' '� � `�- (do not include taxes) <br /> (for commercia rrork <br /> USE OF BUILDING �� !,( 5��� � �' '�, � � - ' <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by th ro ed tplans <br /> Washington. Applicants with such jobs must show the Sta�e-app <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> '' � . � � i <br /> �'� � <br /> � <br /> -, _ <br /> � <br /> SIGPdED : • ' � �' � ( ' DATE �3�:��"�,' % <br /> � <br /> NOTES AND CCMMENTS: <br /> 6/10/`7 <br /> 192E1i <br />