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CITY OF EVF}�FTT <br />DATE: �j�"� � . \ °l� I�Bg <br />F.LECTRICAL WIRING PERMIT APPLICATION FEE: <br />J03 ADDRESS � � oo � `� `� ����o,� �� p, �� <br />� <br />TtR'ANT j� ��( n�..�� �` �� 1�1 C• <br />PROPERTY OWNER <br />� <br />ELEC i RICAL CONTr2ACTOR ME.� �'.Z. S 1 h r�l Cc9. l�.lL. <br />LICENSE N0. �F��� cG �'1\ G1C_ EXPIRATION DATE oZ —ag —�� <br />ADMINISTriATOR w M � ��, � �(,,, � ,,.,� G, PHONE N0. („ �..� — l� ,�,L\ 3 <br />VALUE GF WORK �� ��0� = (do not include taxes) <br />(for commercia work � <br />USE OF B'JILDING GG��, s�..L,�� <br />NOTE: 'NAC 296-40-140 requires that plans for electrical work at educational, <br />=n�titutional or health care facilities be 2pproved by the State of <br />Wasnington. Applicants with such jobs must show the State-zpproved plans <br />before a City of Everett permit �vill be issued. <br />WORk' TO BE D�NE: <br />_ l�► S� a �. t� 1 D I r— I+- L v M �t �� '..cr� <br />S l C_,1 *1 <br />SIGNED : �Q � , �, ��P ��Q�, DATE � — \ �—��Q� <br />NOTES ANi7 C0�4MEMTS: <br />6/10/87 <br />192211 <br />