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x.. <br />ri ��� t `� <br />CITY OF EVEFtETT Y DATE: `j �— �� <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRESS ( R�� ?T7d- �t) P S� <br />TENANT (�C ,� ! �.J O l S 7—� t 5 u i'� N 9�(i�tF ; N o C�0.� d <br />Fl�OPERTY OWNEFt � � � • �, <br />ELECiRiCAL CON7RACTOR (�� d d�� �� e C(�v � I� �� l no 1 S <br />LICENSE NO . !,J A 0 D[. E e l3 2 0 � EY.PIRATION DATE 3-�/ - q� <br />ADMINISiRATOR J, o�,� Y Q.(� w d d� e PHONE N0. (� S'3 ^? f 7�_ <br />VALUE OF WORK 3c�c�0 "= ido not include taxes) <br />(for commercia work <br />USE OF BUILDING 'F,� c� �t>�Je,�,so�' <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 BE DONE: <br />� ��s no,�so�s — �/ �eA,so�S _-. <br />t�a ✓` d U� e �{ ei- CJ .� r-nti '—' <br />SIGNED :�/ Yl/I�'I l� G'�/fXi�«`-'�— DATE c`� `o� -�/ <br />—� <br />NOTES_AND COMMENTS <br />6iioia� <br />1928H <br />�� /.� �tJ-�� ..r�'�?��� 'Z'�T"'�,y�� `'�t,U�l.ywr"`� <br />�—�-g � � <br />