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� <br />CITY OF EVERER' <br />ElEC1RICAL WIRING PF�tMIT APPLICAIION <br />.,�oe aocRess <br />a� <br />r -�r� <br />OATE' '�� C ✓ — <br />FEE: <br />TEUANT !'K/ �v C l�i.ifc C'•r/� s <br />FflOPEiTY OWNEi � P <br />Q.EC'fRICAL CONiRACTOR � �i !�ti 5 Gr�G" <br />L�C�.`!Sc N0. �« "Q''�sK� 9 7� 3 E:<PAATION DATE 19�� <br />ACMINISTRATOR ,%�ON ��w��''a�'� �''ONE N0. �.S � l% �� <br />VALUE OF WOFiK jj�,,�s-�� (do not include taxes) <br />(Par commerci r waiKi <br />— ---- <br />USE OF BUILDING FS <br />NOTE: WAC 296-46-140 reGuires that plans for electric2l work atthe u5tatenaoP <br />institutional or health care facilities be approved by <br />Washington. Applicants with such jobs must show the State-approved plans <br />bePor= a City oP Eve:ett pezmit will be issued. <br />WORK TO BE DO�E: <br />�Gj2dic� C <br />SIG?IE� : �r+2 UruJ.r.._.�� __ DAiE �' l �.� _ <br />rIOTES ar9 rctaMeirs <br />5/10/37 <br />1?2?li <br />