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CI7Y OF EVERETT DATE: <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> — �oe a�oREss _1 �/� '1 l G �; �u. ,5 Z . S 1�6�. c�- Y�- h �-i'r �, l.d�'�'�`� <br /> --�rne�- <br /> � FROPERTY OWNER ;��wu,�—a.� ���k C�a2 <br /> — 0.ECTRICAL CONTRACTOR 1,,,�h.�y �LcZ�k, <br /> y LICENSE N0. [ U/2Lr[= � 4G� CC EXPIRATION GATE _ �� <br /> + ADMINISTRATOR Cv �nl (',I f I,�t� PHONE N0. 7] � _ 7 � �(; <br /> VALUE OF-WORK � (do not include taxes) <br /> (for commercia work <br /> - USE OF eUILOING ,�5�.,� y <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educat:onal, <br /> institutional or health care facilities be approved by the Sta:e of <br /> Washington. Applicants with such ,jobs must show the State-approveC plans <br /> before a City of Everett permit will be issued. <br /> , W�JRK TO BE �ONE: <br /> . `Z�Z t� -�r-c_ke �`�'7,� <br /> SIGNED : _�x-.""y721 _ �� OATE � � _5' - � '� <br /> NOLiS ArD CCMMENTS: <br /> 6/10/87 <br /> 1922H <br />