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CITY OF EVERETr DATE: 3 � � ' �� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> �oe aooREss /�c//a —/�� �i� , ,�', E_�r f v��. f r� Gv� <br /> TENANT <br /> FROPERTY GWNER QYI�d� ��hS1`f"UG1'ldh L'l, T�iG <br /> EZECTRICAL CONTFACTOR �?p'�i�j �/Q�� <br /> LICENSE N0. EXPTRATION DATE <br /> ADMIiJISiRATOR �/,j'�//�-p ���/wQ PHOIJE N0. <br /> VALUE OF '�40P,K (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING �e�� ��u/�/i l� h GJ <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. <br /> WORK TO 6� DONE: <br /> �,'-.�_��1.��v.�d✓ ,/%�rJ �Gs��o�c� _ �I <br /> SIGNED : �//i/UU.�f—���,�t%/ � DATE �� � �- o��� <br /> NOTES AND COP4MEPlTS: � <br /> � <br /> 6/10/87 <br /> 1922H <br />