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., —�� <br /> CITY aF EVERETT DA7E: / -�G —" <br /> FE�: �� <br /> ELECTRICRL WIRING PERMIT APPLLCATION <br /> � ���� 1 <br /> �aa aooaEss �ll � � 5 � ��> ;�� iT �.,,�sl�---- <br /> �uaNr ��, � <br /> /' 1 �- G��l,���. ,��_. /i �'z--%l <br /> �a�rv awNe-� v-�= �-� <br /> E�CTRICAL CON7RAC1'�R 5 c' T� , <br /> EXF"s�ATICN QA7c <br /> LT_i.`.'�15c N0. r�5q'- r7.-� � '7 <br /> �auE rro. <br /> ACMINISTRATCR <br /> (do not include taxes) <br /> VALUE OF WORK <br /> ; (Por commercia worxJ <br /> � / c�! e C � er�1 �� .� <br /> USc OF BUIl.�ING <br /> roved by the .State of <br /> NOTE: WAC 296-46-140 reGuires that plans for electriCal work at educatian , <br /> institutional cr health care faci�i.ties be aPP <br /> � Washirgton. Applicants with such jobs must show the State-�Pro`� p�s <br /> ' before a City oT Everett pe�mi.t wi.11 he issued. <br /> i • � . <br /> WORK � BE OONE: <br /> � <br /> 1 <br /> I <br /> � _�— <br /> , �„/J ���� DATE �_,�__��.. — -�-�- <br /> SIGNE� % �Ce (��' � — . _. <br /> .-� <br /> � � • • <br /> NOTES ANO COMMEITS: � <br /> 6/10/87 <br /> 192°H <br />