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i <br /> CITY OF EVERETT DATE: ` 3 - o{ / - �� <br /> ELECTRICAL WIRING PERMIT APPl1CATI0N FEE; <br /> JOB AODRE55 �/G� ` �/ v y`' � .C. ��. • �„l-'l.� • <br /> TENAfJT <br /> �iOPERTY OWNiR f�RQ-���_� _ � <br /> ELECTRICAL C04TRACTOR �(! C�- �C �� � � <br /> LICE�SE N0, i/�.DC�/ �,S-3 ,t3 g� EXPIRATION DATE °�- /-Q'� <br /> AOMINISTRATOR ��.�SC� PHONE N0. ,3��i-=S�j,,3� <br /> VALUE OF WORK :�-.— .+ •--�-�-- (do not include taxes) ; <br /> (Por commercia work <br /> USE OF BUILDIN� <br /> NOi'E: WAC 2?6-46-140 requiras that plar, for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such �obs must show the State-approved plans <br /> before a City of Everett pernit will be issued. <br /> WORK TO BE DUN� � . <br /> ��_,--�o �_z-�1�`--" <br /> -, <br /> SIGNED : �_���--,a / �`"" � DATE �3 -�-/ -�� <br /> NOTES AND C ENTS: �/ <br /> 6/10/87 <br /> 1922H <br />