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CITY ," EVERETT A <br /> DATE: i l J �i � Q° 7 <br /> ELECTRICAL WIRIN� pp�IT qpp�ICATION <br /> FEE: ,Z_ S�_�' <br /> JOB ADORESS ,Z - �h .S'f- S ��,3 7 <br /> TENANT } <br /> FROPERTY OWNER �Un <br /> P ' P /�� '� <br /> ELEC7RICAL CONTRACTOR —�� <br /> - l��n �Pr �., � % C <br /> LICENSE N0. �r� 7� �_�����— ExP�ATION DA7E <br /> ADMINISTRATOR <br /> F , ° •u /� � �a� PHONE N0. 355-/�.,(�i <br /> VALUE OF WORK <br /> (for commercia work (do not include taxes) <br /> USE OF BU?LDING �� <br /> tp <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> Washir,�tQ�nalAppll antstwithrsucha ,Jobsimustb;howpthee5t te-ahe State of <br /> before a Clty of Everett permit will be issued. PFroved plans <br /> ' WCFK TO BE DONE: <br /> —+�LCl:1L� rn / /1 p� L � � ��P �` <br /> \ <br /> SIGNED : a �.t�r Q�_�, =� <br /> r.�--, � DA7C _ �/_ ,� ✓ (� ?'/rf 7 <br /> NOTES AND COMMENTS: — <br /> 6/lU/87 <br /> 1S28H <br />