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I CITY OF EVERE7T DATE: <br /> _ 1( - 5�- 57 <br /> ELECTRICAL WIRING PERMIT APPLICATION <br /> • FEE: <br />� <br /> ;;OB qDORE55 _/�y� . /p o z�� � /�, <br /> TENANT — <br /> FROPERTY OWNER -,�� f.. ��/ o�� -- - <br /> ELECTRICAL CONTFtACTOR _ C urla , FIo � � <br />, LICENSE N0. C V/Z L Ee Zc� ('f EXPIRATION DATE b�� � <br />' ADMINISTRATOR �'��ryl Cu��Pv PHONE N0. 7�� <br /> -- - 7 � <br /> VALUE OF WORK (tlo not include taxes) <br /> (for commercia work � <br /> II , <br /> • USE OF OUIL�ING _ y-pc � � rnf � <br />�M NOTE; WAG 295-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washinyton. Applicants with such ,jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> I , <br /> , WORK TO BE D!)NE' <br /> r—�o�lIlL �GC� IJ .) C 1` YY16 � l � � /1 Nnl .. <br /> SIGNED : ��cc/ '✓ �u-r�/'�t.v DA7E ����`�,��� <br /> MOTES AP10 C0�4MENT5: <br /> 6/10/F17 <br /> 192211 <br />