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, <br /> � � ��; <br /> � �� ���� <br /> CITY OF EVERETT DATE: <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> �-� � / <br /> JOB ADDRESS ( �a 3� l�1 � �V� S � L'ZL'��` ��' <br /> TENANT f�?�e �C �Sv�i f�,� I7P/c G�o�7` , /�`�1.4'S7�-oh <br /> FROPERTY OWNER �P� ,f Sh-, i �7 ' <br /> ELECTRICAL CONIRACTOR ��v�-c�� f�r'G77��-� �i�- � <br /> LICENSE N0. �rV TE'Tl�':L Y�2 � ? EXPIRATION DATE %0��� <br /> ADMINISTP,ATOR /,/ �� G�o y� PHONE N0. �j 3 'Y-�J� 3/`�__ <br /> VALUE OF WORK /�; y%Sr _�do not include taxes) <br /> (for commercial workT <br /> USE OF BUILDING !J� `.7�/s� ��r4.� ��i�vt>� � . /P�tse S�i9C-e <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. - I <br /> WORK TO BE DONE: <br /> � O�/,e�/ c� � "/ �«/��; <br /> 3- z� � s-P��i�s <br /> i <br /> � <br /> SIGNED : �r DATE �� . <br /> NOTES AND COMMENTS: <br /> ' <br /> 6/10/87 <br /> 1928H '; <br /> � <br /> ' <br /> � <br /> 4 <br />