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,�. ,�, <br /> CITY OF EVEFtETT DATE: �- /� -�� <br /> ELECTRIr,,��_ WIRING PERMIT APPf..ICATION PEE: 30� <br /> JOB ADDRESS �O/p a � /�'/ l h /��i� S� <br /> TENANT � <br /> PROPERTY OWNER �D� /.S�o,6 L C e � /,� S/f,.1<, � <br /> ELECTRICAL CONIRACTOR vt f�.c.iC��/Pc�i•'c <br /> LICENSE N0, ��{E.�/��2 /L ,'Z EXPIRATION DATE <br /> ADMINISTRATOR d'i/J L�pT o% PHONE N0. ,'f.��/-� -�j.7 �� <br /> VALUE OF WORK 'ZS� (do not include taxes) <br /> (for commerciZ work <br /> USE OF BUILDING ,�b c lto✓ S �'/- -�+� �c <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, j <br /> institutional or health care Pacilities be approved by the State of j <br /> Washington. Applicants with such jobs must show the State-approved plans i <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> 1 sta/� s7rw � •. /Z•+,c rc/ .,-re sT �v � e C�s�c✓ <br /> fo 06 J'�G .•r� 4roo�� C/�'o. l•+ crs �u,i �e� ii,•c � <br /> �^-1�lri'a � i9� P f�'s 7`••-t 9 .6 t.i ��/.-<e 7 <br /> � <br /> SIGNED : C���C!'t /S��/k+'� DATE '� ��6� Fr� I . <br /> NOTES AND COMMENTS: <br /> I � <br /> u/10/87 <br /> 1928H <br /> . I <br /> 4 <br />