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, <br /> � ��' <br /> m � x <br /> C, H <br /> YHfA <br /> 4 xy <br /> yzH <br /> I � H� <br /> oxo i <br /> II � V� H � � <br /> � r�-�� CITY OF EVERETi' DATE: � � <br /> o H FEc: �_ <br /> ��g ELECiRICAL WIR.TNG PFRMT_T APPLSCATION <br /> � � �� � _ �c� r�' �� � <br /> g vHi H JOB A�DRE55 <br /> � � <br /> o t� v� ��- ---- <br /> �� � TENANT � <br /> H o vi PROFFATY OWNER � Jil7 /^� <br /> � <br /> �- � f'C� l�i G - <br /> ELECTRICAL CONTRACTOR il/ �t� � /� r� I <br /> �' ^-�-n ir T�iA2/i7 FXPIRATION DAT� d O <br /> LICE�SE N0. fil �'L I L�`'U 1- "r v -�- �-- )? �f 1 <br /> q LG<J`l FH�NE N0. � 3 `�� � / <br /> A�MINI57RATCR �l � �l ��- <br /> (do not include taxes) <br /> VALUE OF WORK �- � <br /> (for commercia_ wor�) � <br /> /� f � C�-5 � -P L'��GL� <br /> USE OF BUILDING /v ��� � <br /> NOTE: WAC 296-46-140 requires that plans for electric Tloved r byatthe u5tatenaoP <br /> f�' institutional or health care facilities be app roved lans <br /> 14ashington. Applicants with such jobs must show the State-app P <br /> �`' before a City oP Eve�ett permit will be issued. <br /> ; j WORK TO BE DONE: <br /> 1 1 i U ��c.- �2 G� -- <br /> 1_I <br /> _� _ <br /> i— <br /> — <br /> ��I <br /> �e �� �,/ � DATE � � - <br /> �� SIGNED : <br /> NOTES PND COMMENTS: <br /> / <br /> 6/10/87 <br /> 192EH <br />