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CITY OF EVERETT DATE: 1-;r - c 1 C <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRESS <br />�1�4y�70.� <br />r 40- Ba ST.:,,N . <br />BL.O C� A <br />TENANT <br />T(2 A M LO <br />PROPE:TY OWNER <br />526 CAMMILece <br />Ct9`r-itF. <br />ELECTRICAL CONTRACTOR (KI SSmr)n1 & Lk-t-1 R c- <br />LICENSE NO. <br />f_ISsrn%E1141CL <br />EXPIRATION DATE b•3J-`11 <br />ADMINISTRATOR <br />—ro,.\ <br />PECNE NO. <br />VALUE OF WORK <br />5m ;- <br />(do not include taxes) <br />(for commercial <br />worK <br />USE OF BUILDING <br />W f*tf VWS C <br />NOTE: WAC 796-46-140 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 jabs must show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />IU$Mi1 - tnD 4 2c RGS\ RAM <br />_�C:NAit�T seric�. <br />SIGNED : <br />NOTES AND COMMENTS: <br />t✓r r(� ceDL r-b fZ 3L.Dy <br />Ac.C*_sS -4t� ' H V K <br />6/10/87 <br />1928H <br />DATE 1—t-y\ <br />