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CITY OF �VERETT CATE: <br /> QECTRICAL WIRING PERMIT APPLICATION FEE: <br /> � �oe aooREss /�j/2 7 - /04� 5T 5. �,� . � 33 <br /> TENANT <br /> � �oP�rv owNEx ✓E,NN `� �.t Si�= �AMl�,B��L_ � <br /> ELECTRICAL CONiRACTOR <br /> LICENSE N0. R M� �� �L (�_j ���/ EXPIRATION DATE 5 3/�jr9 <br /> ADMINlSTRATOR R :r_�. IL�o� �,� PHONE N0. <br /> VALUE OF WORK (do not Include taxes) <br /> (for commercia work. <br /> � USE OF BUILDING ,Q�i 0�'N�S� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facillties be approved by the State of <br /> Washington. Applicants with such �obs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> - WORK TO BE DONE: <br /> ' �10,y/� E ,�o�K� <br /> SIGNED : �,/'. � �rJ. (_/LtGG,�C�t�E%K _ DATE 9�� <br /> I <br /> NCTES ArA COMMENTS: <br /> 1 <br /> I <br />� <br />� <br /> I6/10/87 <br />� 1928H <br />