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CITY OF EVERETT <br />DATE: �`tlii �r C � �, l�;' ; �l <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: vS_ L7O <br />�� � <br />JOB ADDRE55 ��I (��: ; - F�� �=1i x' (�. S � � . � � I �,f1L�'� <br />TENANT <br />�oP�Tv o�vNff� i1'1, � l. �=1 �� �,�, ��, �, � <br />� <br />ELECTRICAL COPI7RACTOR � � }��, ' p �; �, ; <br />LT_CE�SE N0. 1 �� f r�• /� k j yC(,� !� %1 EXP�ATION DATE <br />AD�ti1INISTRATOR r�� � ( � , ,�p�� PHONE N0. <br />`�� . <br />o"i.,'i 4 — ,?Q�j�� <br />VALUE OF WORK (do not include taxes) <br />(for commercia work) <br />� <br />USE OF BUILDING �-� ���� ���,� / � � 6(; <br />NOTE: WAC 296-46-140 requires ihat plans for electrical xork at educational, <br />insti:;utional or health care facilities be ap proved by the State of <br />IVashington. Aoplicants with such jobs must shcw tre State-aoprcved plans <br />berore a City oT Everett pe:mit will be issued. <br />WORK TO BE DONE: <br />��, <br />SIGNED : ( ,t Iii� ��; ! ; ('. ( l %i � ,(> i , DATE �:;Ir( �l �` , .C� li',�'�'I <br />NOTES AND COMMENTS: <br />6/10/87 <br />1°28H <br />