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-` <br /> CITY OF EVERETT DATE: � -, � / <br /> E1ECiRICAL� MD�ING PERMIT APPLICATYON FF.E: <br /> .7os AoottEss 3 0 0� t�uck e� <br /> ��T �verc'�' 17own �ow�� S�v�n4P <br /> Rtor�trr owr� Lea�, Y1;cti�19 <br /> ElECTRICAL CON7RACTOR _ D0.���s � eru;c I� � �'c� <br /> LICENSE N0. 1711NSS E 15f� �� EXPIRATION DATE 5- 31 -90 <br /> ADMINISTRATOR _ 1J4v� � i��,n F'F�NE N0. 3'.Fi-908o <br /> VAI_UE OF WORK � 300p.00 (do not include taxes) <br /> (tor commerci work <br /> USE OF BUbDING S�4v�aae u,,;as <br /> NOTE: WAC 296-46-140 requires that plans for elect-ical work at educational, <br /> institutional or health care facilities be a�proved by the State of <br /> � Washirpton. Applicants with such �obs must show the State-approved plans <br /> before a City oP Eventt permit will be issued. <br /> � MORK TO BE DONE: . <br /> jUn�_ -� �ai .�,n(tifo -lo a�rh � �n� ��n,',f r„� }� dl .,n,� .�� t.;,o <br /> � m m <br /> � SIGrED : d�2n� DATE �-a�!- 90 <br /> NOTES AW COrN1ENTS• <br /> 6/10/B7 <br /> 1928H <br />