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� <br />CiTY OF EVERETT <br />ELECTRICaL WIRING PEAMIT APPLICATION <br />� <br />DATE: 5���. \�l . I�gE� <br />�— <br />FEE: <br />JOB ADDRE55 � 8�p E�� ,=�`E���Ga�� V,�� p�� <br />TENAN7 }Z �� ��,� � � F � v L, <br />FROPERTY OWNER S�,"� � <br />ELECTHICAI_ CONTnACTOR MGy � 51� rJl C_c7. l�lL.+ <br />LICENSE fJO. <br />ADMINISTRATOR <br />�E��� SG 3-1\ C�� EXPIRATION DATE �2 —a8 —�� <br />�/�L M.. L3 �l. l_ K-l� �,..� �. PHONE N0. C, ��\ — u�.�� <br />VALUE OF WORK �� � p� = (do not include taxes) <br />(for co�nmercia work � <br />USC OF BUILDING �„L Z, C�,��5 <br />NOTE: i�'AC 296-46-140 requires <br />institutional or healt <br />Washington. App?:.cants <br />before a City of Everett <br />WORK TO BE �O�E: <br />thzt olans for electrical work at educational, <br />h care facilities be approved by the State of <br />with such jobs must show the State-approved plans <br />permit will be issued. <br />I�.► S i r� �. �_ , D I r— I t- L. v r�. �t ..� �c,-v` <br />S l C..� +�1 <br />SIGNED : ��� ��8 �QQR, DATE � — \ �—�'�c3 <br />NOTES AND COP4MENT5; <br />6/10/87 <br />192E11 <br />