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CITY OF EVERETT DATE: �������� � <br />/ �-- <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRESS �2-ZL� ��14�t7Lv�--' �(j (�t,� <br />TENANT <br />FROPERTY OWNER <br />l�C� IG� Ac�' � z;� ��'t5—Z-7 � -- <br />I <br />ELECTRICAL CONiRACTOR �1 �U un Ul-yLyU � p-=(p �_ ��% �CG� �'��c� <br />LICENSE N0. _�/ 61.1 ry� /� ar I iLCI �-G�/� EXPIRATION DATE v�, �, � <br />ADMINISTRATOR _J11LtiL�1-� i�(-� PHONE N0. ���-� -� l(l L, <br />VALUE OF WORK ����=p �� (do not include taxes) <br />(for commercia work <br />USE OF BUILDING � � ���v� ���T�> �whJ iN C�� <br />NOTE: WAC 296-46-140 r�quire� <br />institutional or healt <br />Washinyton. Applicants <br />before a City of Everett <br />WORK TO BE DONE: <br />that plans 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 />_��>�/�-tL /�-�b� /."��ti+-ti-�ib� r'-,YI� t1._Lv.��i,�l,� I�J� �-CUl�iir�Lr� <br />���?i �-Tw � L�-n i-� ra-u S <br />�/ , <br />SIGNED :��� � DATE �� II G' (� � <br />% � " � — <br />NOTES AND C0�4MENTS: ' <br />6/10/87 <br />1922fi <br />