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CITY OF EVERETT <br />ELECTRICAL WIRING PF]�MIT APPLICATION FEE: ;S G— <br />JOB ADCRESS <br />TENANT <br />j / � /� <br />� �� ci �� ��i .f �7� �V C' �"< T <br />FROPERTY 0�9NER �a-L°- <br />CJ�/ / <br />ELECTRICAL CON7RACTOR �) � IV( L IeC'i�c^ ��- ��C�- _ <br />LICEi�SE N0. J D I�i % �, I� Iby�_ EXPIRATION DATE //�� v T�' <br />ADMINISTRATOR �e�o �c�Q- � /�� o fn ,�i PHONE N0. 7 7`( C'' �`� (_ <br />VALUE OF WORK (do not include taxes) <br />(for co;nmercia work) <br />USE OF BUILDING h'd �-rE- <br />PJOTE: 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-�pproved plans <br />be`ore a City o' Everett pe:mit ��ill be issued. <br />WORK TO BE DON�: <br />� <br />i`V��� �, o �� N��cc.' /-S�S��/�r-c <br />.S �,^v� �� _ <br />�� ���j-� � � <br />SIGNED : % �-tiz./ ^� � .�//�''-��-Y:� DATE / � '� � c� � <br />NOTES A�!D COMMENTS: <br />6/10/8; <br />1928H <br />