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i <br /> � <br /> � <br /> -�� ,� <br /> � <br /> CITY OF EVERETT DATE: C('/?��1 /�y <br /> ELECTRICAL WIR?NG PEAMIT APPLSCATION �E� <br /> JOB AOORE55 �� ��O �• �I C� � ��� �1�� � � ��-��"� <br /> TENANT Q L� <br /> FfiOPEiTY OWNER �rlt � ti �' <br /> ELECTRICAL CONiAACTOR Vt� � E� � �C'- I ` <br /> LICENSc N0. � �-D�r ��C ( T � �� E:(FLRATiON DATE � ��I ��" • ! <br /> , <br /> ACMINISiRATCR �• � � '��[��f4-r� PF'ONE N0. [F -�J���13/ <br /> VALUE OF WCRK (Co not inclade taxes) `> <br /> (for conmercia wor�J <br /> USE OF BUILOING ��$ <br /> NOTE: WAC 296-46-1!+0 requires that plans for electrical work at edur,ational, <br /> institutional or health care facilities be approved by the State oP <br /> Washirgton. Applicants with such ,jobs must show the State-approved plans <br /> befor= a City of Everett peimit will be issued. <br /> WORK TO BE DONE: <br /> ��1� O �'�?� S�' Y `� �.d7��� L�.�� � 1 P� <br /> a <br /> � <br /> SIGNED : ' (,� 1 /12c OATE G ��C� �<� <br /> M07E5 APe] CCMMEITS: <br /> 6/10/87 <br /> 192nH <br />