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1 �� ��1 1 <br /> CITY OF EVERETT DATE: 17EG' � � � y g7 f <br /> ELECTRICAL WIRING PERMIT APPLICATSON FEE: , <br /> � <br /> JOB AD�RE55 �Do SM�tN- ISG/�N� IZDf�O rJ'l/�'RySV���� ' <br /> �NaNT �v���Tr I'/�RKS � r��e���r�o� n�r�r c�rry a� �,rr�rr <br /> FROPERTY OWNER ��lL�l3�fl" P/jRkS � ReeRGItT�o�I P�PT <br /> ELEC'fRICAL CONTr�ACTOR " <br /> LICENSE N0. EXPIRATION DATE <br /> ADMZNISTRATOR r/f�0 '`T�D� /yI/Tj�T PHONE N0. ��- O�jbG� _ <br /> VALUE OF WORK �rj ppU (do not include taxes) <br /> (for commercia work ' <br /> USE OF BUILDING P(/�uG - yI�C��1fT0/tI <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutio,�al er health care facilit�es be approved by the State oY <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> before a G'ity of Everett permit will be issued. <br /> WORK TO 6c DONE: , <br /> C����r�i��� s,�uic,� oFF/l�Jf�,�S�l'�oGjt'/ I3f�IGDlh7l-r <br /> ��E�tH�c �f rx s � �r o r-wA;��� T�Nrc __ <br /> S�L` f"' /�' fN/G/�-L S��G� SEGT/0�� OIV /2 <br /> SIGNED : �1�� s$ DATE �-C� �i �P� <br /> NOTES APID COMMENTS: <br /> 6/10/87 <br /> 192211 <br />