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i <br /> .w , . <br /> � <br /> CITY OF EVERErf OATE: � LY � <br /> ELFCTRICAL WIRING PERMIT APPLICATION FEE: <br /> 1h <br /> �oa aooREss _�0 /l� - / l C� � 1 I� �� . �_ ��i�=��� �' l% <br /> � <br /> tE,vaNr �� e.�� <br /> �oP�rv owNa �a v�, << e7� �',y ,�s �' <br /> � r �. 1 <br /> ELECTRICAL CONTRACTOR (�{J �Ce G�eU l� C� <br /> IICENSc N0. ����LFL /�,,j �� � E)(PiRATIGN �ATE �f- �i�� �S <br /> ADMINI57RATCR �� c� �1 i P �. �_,/1,�-i` PHONE N0. l!' �-1��J5/ <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDIVG <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educattonal, <br /> ir�stitutional or health care facilities be approved by the State of <br /> Washington. Applicants with such ,jobs must show the State-approved pl.ans <br /> before a City of Everett pernit will be issued. <br /> WORK TO BE DONE: <br /> (�v11 ��t' �� l.(J � V i �4 i �`� � �� ��C-C� ��1,1h'�l E� <br /> � a v �z��l �> S�� v� � �� rt. <br /> SIGNED : . �,� - t� �� �J ���� �(� O�'ll. �C�_ DATE � � cP � � <br /> NOTES AND COMMENTS. I <br /> 6/1�/87 <br /> 19^<:;4 <br /> I <br /> � <br />