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, �, <br /> ,.,. , <br /> CITY OF EVF3ZE'R DATE: ��(�Qf � fC�� <br /> ElECTRICAL WIRING PE3iMIT APPLICATION FEE: �_ <br /> �oe ao�R�ss.. 5�� �Qcks �r-;� . <br /> TENANT �� _E��.f i/? <br /> FROPERTY OWNER !Y j�i / c�,na er <br /> EIECTRICAL CONiRACTOR ' � <br /> LICENSE N0. .�,(J&�Q(�''$�/I�,(,�, EXpLtA ION DATE _ (p�q a <br /> ADMINISTRATOR � 1l Lt.Y✓1 �. �GC/� Q PI-pNE NCJ. �g .���Q . <br /> VALUE OF WORK �51 9• � do not include taxes) <br /> (for commercia wor <br /> USE OF BUILDING �M��� L�,�Idl� <br /> NOTE: WAC 296-46-140 requires that plans Por electriCal work at educational, <br /> institutional or health care facilities be approved • by the .State of <br /> ' Washinpton. Appltcants with such ,�obs must show the State-approved plans <br /> before a City of E'verett permit will be issued. <br /> . . <br /> WORK TO BE DONE: ' <br /> - �a'�S�,ll ��J Va f�t.U�L 19'1G/n�l �1�5�2� <br /> SIGNED : / � � � i `; �i _ .-�f�-� DATE /O/�3/f�( l <br /> NOTES MD COMMENTS: .. r <br /> .� "U LS' F� `, ' . <br /> ��n �� �j�� <br /> " "o� - , D <br /> ......... .. � 19g1 <br /> ��TY..OF.......................... <br /> 6/10/87 publlc �,o ks�Rp rr..... . <br /> 1928H <br />