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CITY OF EVERETi DATE: � a v� � � j 9 S$ <br /> ELECIRICAL WIRING PERMIT APPLICATION 5 3 `�-� <br /> FEE: <br /> JOB ADDRESS S 7O j /_ V er� ,rr�.� li✓.�..� <br /> TENANT /3c�vs�cle � vL� u S Q <br /> —� <br /> PROPERTY 0'dNER �, ' � <br /> i ELECTRICAL CONTRACTOR I^/pS�Pr r� /� � Pc��� c a- N P�C��h p <br /> � LICENSE N0, �j/�s f«/, �,y9 � � E;(P7RATION DATE <br /> A�MINIS'fRATOR /�j�f,,,,,,, � +yijd y�l��p PHONE N0. 3.�y - 3/`i �� <br /> VALUE OF WORK � '� <br /> / /o � r (do not in�lude taxes) <br /> (for commercia work <br /> USE OF BUILDING V SP� C'a r. �a t' <br /> NOT�: WAC 296-46-1ti0 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE; <br /> Chane< S 'U �h9 7iJ�c`�Qr /��c l� 7`o c � c,a,� _ oh e <br /> , <br /> .. . �7'i l N I PY � L/0 0 /� /�A/!�/YoJ— <br /> SIGNED : _���,�,, /�n��,��n�;� DATE / -a) - �� <br /> NOTES ArD COMMENTS: <br /> 6/1D/87 <br /> 1928H <br />