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i <br /> � <br /> � <br /> I <br /> CITY OF EVfftETT OATE: ,3 ' //' �.� <br /> ELECIRICAL WIRING PERMIT APPL.ICATION FEE: <br /> JOB ADDRESS lI/ � — ll D� �L S .F Fll��� � <br /> TENANT <br /> FROPERIY OWNFR /�J���yy� d- �f �G� <br /> ELECTRICAL CON1FiAC70R c� � � � G CC-�/ C <br /> LICEJSE NO. 6�n t'/ t ,?�� rr� � EXPIAATION DATE <br /> AOMINISTRATOft .� �/M� ,,�{1AL/LL-- PHONE N0. �� - �j �// �7 <br /> VALUE OF WOFtK /bQT (do not include taxes) <br /> (Por commercia work <br /> USE OF BUILDING �CS <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutlonal or health care facilities be approved by the State aP <br /> Washington. Applicants with such �obs r�ust show the State-appzoved plans <br /> before a City of Everett pezmit will be issued. <br /> WORK TO BE OONE: � . <br /> �J.[ � �('� /��2T L� <br /> SIGNED : �_�t ,,t�e,� �1 �-r.cc� DATE 3— //-fS <br /> NOTES APlD COMMEITS: <br /> 6/10/87 <br /> 1928H <br />