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� <br />� <br />CITY OF EVERETT DATE: Q" �—�� <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRE55 � ` I � �� 7 `�� ��. <br />TENANT <br />PROPERTY OWNER �iL, Sla <br />ELECIRICAL CONTRACTOR �_ (�l�2"C\N ��-(^t`Q�L. <br />LICENSE N0. �\��+�\� \%� vCv� EXPIRATION DATE �2-3�' �D <br />ADMINISTRATOR hl�-1� (h(,'(L'�\N PHONE N0.��2 U�SSZ <br />VALUE OF WGRK '' (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <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 />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />�C�W ��re 0'� ma dP� ���.1 i \ti�n� �v�h ���a`�s , Sw� Cf� � �C�`�rj.¢l� <br />��\ - �.5(\S`In� �-�pp(�fhB SC-�'LUIc.E �'U �� �eUSeL� <br />SIGNED : � � DATE �-/ �1S 0 <br />NOTES AN� MMENTS: <br />6/10/87 <br />J.92BH <br />