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CITY OF cVERETT �JATE: L�-���j�� <br /> rCG� <br /> ELECIRICAL WIRING PERMIT APPLICATSON FEE: �`) "� <br /> . J <br /> ;;OB ADDFtE55 / Z Z 31 / y t� I� � S i � <br /> rNaNr � <br /> FftOPERTY OWNER S V riil f�ii-,�) C o.�.)i . � <br /> ELECTRICAL CONTnACTOR (� � oJpi--aR� �`��i= �T(2 IC <br /> LICENSc N0. (,,J o00 i-K S 3 8�f EXPIRATION DATc <br /> A�MSNISTRATOR .�� w�0(roP-D FHONE N0. 2 � Z - g 9 �X <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia wark ' <br /> USE OF BUILDING ���p� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, I <br /> institutional or health care `acilities be approved by the State of <br /> Washington. Applicants with such jobs must show the State-2pproved plans i <br /> before a City of Everett permit will be issued. <br /> 410RK TO BE DONE: <br /> �v �=-+.J �,+n ti ?o a J�v� • ,. <br /> SZG�lED : �� L J �—�� DATE S /2 3/fr 7 <br /> NOTES AP1D COt4b1ENT;: <br /> 6/1G�'87 <br /> 192E1i <br />