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CITY OF' EVERETT <br />DATE--S�F�-/-+--`- <br />ELECTRICIIL 47ZRING YERh1IT APPLICATION FEE 35,pp _ <br />� Joe �D�SS SooS �'xl A✓� Gt%s� <br />TENANT <br />PROPERTY OWNER �aEIE[ r F-i0(.wC-�j <br />ELECTRICAL CONTRACTOR L �N�- Er.E�rv�� �NG. <br />CONTRACTOR' S ADDRESS �O �SC ���LY' �R,�u�Ne . 9�083 <br />CZTY Z1P <br />LICENSE N0. ��EGE�� �O�iG'3 EXPTRATION DATE � Z��LB%'�/ �L <br />ADP'INISTRATOR �EQ %%tACTt/L <br />VALUE OF WOR'C <br />(fox commerical work) <br />PHONE NO. � S�S9' �JZZ(� <br />(do not include taxes) <br />USE OF BUILDING S/AIEtLE �d(WLN vtiEGbi�L, <br />NOTE: WAC 296-46-190 requires that plans for electrical work at educational, <br />institutional or health care £acilities be approved by the State of Washington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett pe�-mit will be issued. <br />NOTE: [4iring in non dwellings is required to }�e in conduit. <br />WORK TO BE DONE: <br />SIGNED: <br />3/27/90 <br />'�eO Au.yO SEK✓t�E .UEw �oti15TRr.t.GTroicJ <br />DATE: � � 6 <br />