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i <br /> ; <br /> � <br /> I <br /> i <br /> ,,, ,.�. <br /> CITY OF EVERETT DATE: �� ' z-7 � b � <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: �S� <br /> JOB ADDRESS c� I i �] �-(y � ST �(�,�,�> ��.� ��� ����(j , <br /> � <br /> TENANT F� L4IQj f- <br /> PROPERTY OWNER h'��{ (����' <br /> EL'�CTRICAL CONTRACTOR �',� I,,,� �pv �i(�Cfr � <br /> .�_�r..r, <br /> �;,, y LICENSE �0. - Z EXPIRATION DATE _ 7-.3/-� �' <br /> t_;. -- - <br /> `,,, ' ADId2NISTRATOR in� ��i,,,�a.� S� PHONE N0. ��S -rj - Z�� I <br /> � VALUE OF WORK �do not include taxes) <br /> �r ' ' (for commercia work <br /> ' ' ', /� <br /> �. ; VSE OF BUILDING � �0 i�A�SC��� C`t-Y' <br /> �+l�; <br /> �;;;,. F NOTE: WAC 296-46-1�i0 requires that plans for electrical work at educational, <br /> `�� � institutiona, 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 8E DONE: <br /> 4�_ • / � / <br /> � �� �( ln Z � �l � L(rLU� tl J�9 hc41�iP�rT <br /> _""° aoU /��,o ,� ,s <br /> ,1. <br /> ,, � <br /> �� � <br /> ; <br /> �=` <br /> �£�` <br /> � <br /> ;. <br /> SIGNED : C DATE � � � -�/ <br /> NOTES AND COMMENTS: , <br /> i <br /> �(KuJ.e /r15�' C-7 �`B'Na,cj f1� �'cSl�b�p ��. <br /> 6/10/87 <br /> 1928H <br /> I <br /> I <br />