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CITY OF DIE <br />ELECTRICAL WIRDn PEMiIT APPLICATION FEE ya _ <br />rrvCPy 7 <br />JOB ADDRESS''; <br />TF-gMTr i t vL /t. G ft c ((l a � /�i s r� c — <br />PROPERTY OWNER <br />ELECPPSGAL CORMAMOR i4212y w 'Cl- e C I-r r c_ <br />COWRArMR"; ADDRESS <br />City <br />LICENSE NO. EXPIRATION DA'17 <br />A'aJMI STP.PSOR _PHONE N0. y/ 2 <br />VALUE OF WORK /� /y n�� (do not include ta:ces) <br />(for conrercial work) <br />USE OF BUILDING �� �% : 7v�t. ✓� J r is rroi 1 <br />NOTE: 6�MC 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 nest show the State approved <br />plans before a City of Everett permit will be issued. <br />NOTE: wiring in non dwellings is required to be in conduit. <br />FORK TO BE DONE' <br />Sr c ie c' /=O TF c t`inr rrV r,:,A-lr+ S V S re/9-7 /=o/L <br />CiN i'KuL S79T/0dJ - 5 LU1-72 4-4 e6 -J-17-tk .J\\iS Y. <br />CJ,,,'Ti2 /1412r — —& • 1c .STY' ,G-7- / e oc:-? <br />SIGNED: DAME Z9 <br />12/15/89 <br />