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i <br /> � � � <br /> q C <br /> C H <br /> � gH y <br /> y Y M <br /> K H � I � _ °%'. ' ', <br /> � y H CITY OF EVQ3ETT CATE: � ` <br /> w � � ELECTr�ICAL '�ViRING P�tMIT AFPLZCATION FEE: �� 3�Sd � <br /> A � � �� <br /> C7 • <br /> � ��C�'C' `j �/) I 1 1�}"� � <br /> � y � JCB AGCRESS <br /> �S o y TENANT j�A l'�� �`_>� �C t=��I C I N C <br /> � "y � FROPERTY OWNER �}� � 4'-C o c,o r- N � s I fi�t-���= �'r���[j�:� R_i� _ <br /> �3 O N <br /> ELECTRI':AL CONIRACTOR � ���'�u Y�-S I ��L EC �(C / ���'- � <br /> LZCENSE N0. j� l� NL(� � �y�R� EXPIRATION DATE <br /> ACMINISh2ATOR S I'��rN�_ ��j�U�� �''`� FHONE N0. Z 5� " l 8 g 2 <br /> VALUE OF WORK '� Z JO O , C U (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING ��/� II LC lZ 57 �� �-� (���(C �'1��'r= !c L <br /> � NOTE: WAC 296-46-140 reGuires that plans for electrical work at eCucational, � <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 /> 1 before a City of Everett pernit will be issued. <br /> ��� <br /> ��I WGRK TO BE DONE: <br /> � (l'� Jv `=�nl ZCt � l\ rv�� l �f � � K � 1C � ( Lc, � ZYO �/ <br /> l �� 2ew� �zr- Nutis � _ <br /> 1� <br /> �� <br /> ; ����� <br /> I � DATE `J I 'r, � � <br /> I �.� SIGNED /=_ ' _ ' " • I <br /> � � ,.�/�f"%�` - <br /> NOTES AND CONMENTS._. ', <br /> l: ; ;11�� � i � <br /> �, , i � ,, , � �,. <br /> 6/10/87 <br /> 1928H <br />