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CITY OF EVERETT <br />DATE: 3/ _g9 <br />ELECTRICAL WIRING PERMIT <br />APPLICATION <br />FEE: 9 a. o_ <br />JOB ADDRESS ('M l <br />'767N <br />91? -1rs 2 tr <br />TENANT <br />PROPERTY OWNER <br />�`v.�t <br />sr.An.-LA <br />(a1,22 3S PC 4, <br />A)C N44[ a5u Lcr 98zY <br />ELECTRICAL CONTRACTOR <br />�o�,i+t �tnt <br />u. s� IL .c-. <br />LICENSE NO. Ce„� <br />Efi: 1-f3 u- <br />(J EXPIRATION DATE <br />-,Xa,t, 9 c� <br />ADMINISTRATOR ( _, <br />( _ 7„rti. <br />,� PHONE NO. <br />VALUE OF WORK <br />(do not include <br />taxes) <br />(for commercial work <br />USE OF BUILDING AYT- <br />sus <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED :����✓ �� DATE % • 3 / ' BS <br />NOTES AND COMMENTS: <br />6/10/B7 <br />1922H <br />