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i <br /> CITY OF EVERETT <br /> DATE: ,� - Z (� - d" � I <br /> ELECTRICAL WIRING PEFtMIT APPLICATION FEE: <br /> JOB ADDRESS �yo�� � �UO T�L�j S� - S � - 5��� /7 � <br /> 0 <br /> TENANT �: -,/Ac o 6Snnl — � 7 "7 S - q � s R <br /> , <br /> PROPERTY UWNER S/9�''`�' <br /> ELECTRICAL CO��TRACTOR (9RRNirE FC_ G�� i C_ <br /> LICENSE N0. �,�f�N/E'/Zb 3�� EXPIRATION DATE _ <br /> AOMINISTRATOFI ��� /3c7iN�C-R- PHONE N0. � S� ��7 �� <br /> VALUE OF WOR1: (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING JY1 D���-� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> ±nstitutional or health care facilities be appr�ved by the 5tate of <br /> Washington. Applicants with such ,�obs must show the State-appruoed plans <br /> before a City of Everett permit wiil be issued. <br /> WORK TO BE DONE: <br /> ' - i� C�� '" ✓/'l7h/ -Qi <br /> , � <br /> / �'� L/v J �/ <br /> SIGNED : � _ DATE _ <br /> NOTES 4M7 COMMENTS: <br /> 0/10/87 <br /> 1928H <br />