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CITY OF EVERETT <br />. . • • �-�.. •'6ifMaJ�.yY�,fs 'i.� <br />..,� ��� i,_� - , „ + <br />aA'r�.' S C_r . ��..sl;'. , _ . . . 4^,k`� �� ._.�±�k���., <br />�"':p � C <br />DATE: 3 - g - g�s <br />ELECTFICAL WIRING PERMIT APFLICATION FEE: <br />JOB ADDRESS Cj (� � � ��}�' /�U e S � <br />TENANT I i m i+x� Io..d I-icr�r� <br />FROPERTY OWNEr2 �iM�+r�lc,..cl Iinmt, <br />ELECTRIL'AL CONTnACTOR _(p�„c�;�.,,. Ce.,}c� r I�c !.-�c T�c <br />LIC�n�sE No. p1 E R IYJ G F 3 18 S� �XPi�„T_Cr: DATE �-�p. g� <br />ADN,IyISTRATOR � I � io'i Fu., K l�-,. � c. PF���� N0. <br />8HY-srqr <br />VALUE OF WORK /o SU•�i� (do not include taxes? <br />(for commercia work � <br />USE OF BUILDING D���?�a,� p•wdcl -�ar _�i•M��:Ic.,s1 _(iomt3 <br />'� F NOT'c: WAC 296-46-140 requires that plans for elect:ical work at educational, <br />�`�; institutional or health care facilitiPs be approved by the State of <br />'� � Washington. Applicants with such jobs must show the State-approved plans <br />bef'ore a City of Everett permit will be issu=d. <br />;a <br />� � WORK TO BE DONE: <br />;, . <br />i; • <br />s; �ns�l� Scc��cl4.3 (c�cierS <br />; �' <br />s� <br />'. 'r <br />. p <br />SIGNcD : �'fvr � ��-�,�, DATc "5 - 8 - 1l�s' <br />NOTES AND C014+tENTS: <br />6/10/S7 <br />192811 <br />