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_'S <br /> „ <br /> CITY OF EVERETT DFlTE: /Z - � 7 ��� <br /> ELECTRICAL WIRING PE�tMIT APPLICATION FEc: <br /> „CB ACCR�55 ,3cjd..S -s''� i �1 <br /> 'icNANT /� i'�'C-�L / �'1^/Ul. <br /> FROPERTY OWNER /`�� /�rrtn /1�a�� ,�•r� <br /> ��cr�zca� coN�acrca <br /> LZCE�Sc N0. _ EXPIRATiCN DATc <br /> ACMI�ISTr�ATGR FHONE N0. z s j- `)/9 / <br /> VA�UE OF WCRK (do not include taxes) <br /> (for commercia workl ' p <br /> USE OF BUILDING ��U A''�� T MF, / a�L� ' J�� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or heal`h care facilities be zpproved by the State of <br /> Washington. Applicants with such jobs must show the State-�pprcved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: .. <br /> / S'�`%7LL ' AM/� Ml�, /'Ur.�,'C7' �'ot G FD� <br /> �iJN.S�(1���1/ Or NL'�� G4i�'7eE /fOJSEr JSC//LD/�JC�• <br /> �— � l �2 --� oarE !Z - z �-��� <br /> SIGNED "�� <br /> P10TE5 P�D CG'MMENTS: <br /> 6/10/8� <br /> 197FI1 <br />