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, � <br /> , - .. <br /> CITY OF EVERETT DATE: �0 ^l � � � <br /> ,.�- ;•�, <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: �,l-" <br /> JOB ADDRESS rS�'c�i�U /6 j l' ��l � f-- <br /> TENANT �y O���r-� ��-•' ,r- E� S <br /> FftOPERTY OWNER �'i vi� �'"'/ �'f <br /> � <br /> ELECTRICA�_ CON'fR11CTOR y,rP�c � � �/�'��``� "' `' <br /> LICENSE NO.�T/%�.L %�/,S' �- � � EXPIRATION DNTE <br /> ADMINISTRATOR ,�i/� �L �icr �, PHONE N0. � S �/ �i 3 �/ <br /> _ , <br /> VFlLUE OF WORIC (do not include taxes) <br /> (for com�nercia work <br /> USE OF BUTLDING ��`'S%��%'� '� "� C��J�� "� — <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 L'ity of Everett permit will be issued. <br /> WORK TO BE DONE: I <br /> ,,� J l.-�� .Sr'--"�.. ' � -r <br /> ��'CL .�C'.'.:� � � � <br /> 7 <br /> SIGNED <br /> ; _L-��.�--� .�/�..�n DATE �O—/` '� � <br /> NOTES AND COMMENTS: <br /> 6/10/87 <br /> 19?8H <br />