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�. r <br /> L'ITY OF EVERETT DATE: � � � � <br /> ELF'CTRICAL WIRING PEAMIT APPLICATION FEE: <br /> JOB ADORE55 p O I W ��T M C�� ��� ���j �� <br /> TENANT 1.�!'�-�.��� Ca I�lil�t U 1� M �%LJu•�fL' �Lfi')!.�(�� <br /> PROPERTY OWNER <br /> ELECTRICAL CONiF2ACTOR ����- S��p'F L� N►.)1/-�00� i <br /> LICENSE t�. �^L1��L �3ZO F�-( EXPIRATION CATE II <br /> /� � <br /> ADMINIS7RATOR C d���y �l..�F PI-IONE N0. 743-�3� � <br /> VALUE OF WORK T �7 wl� (do not include taxes) � <br /> (for commercie�'wo k i <br /> USE OF BUILDINI; w��`�S <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> instituticnal or health care facilities be approved by the State oP <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 /> �-� �o�� Z►�-Q- �a��-- <br /> SIGNED : _ DATE <br /> NOTES ArD COMMENTS: <br /> 6/10/8' <br /> 192e1i <br />