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cirr oF �iErr � OATE: S• L`� � �`i <br /> ELECTRICAL WIRING PERMIT APPI.ICATION <br /> ' �E• czn. nn <br /> �oe aooREss l S Z Z 3 r�a �L�.�� E�e�et-�- �J R q �2�� I <br /> �r 5 , n�nco O � c.0 �� b+e���< <br /> �o�rr owr� _�„r�� <br /> ELECTRICAL CONiRACTI�R BR7�K ' 5 HO?fE SCCURITY <br /> EXPIRATION DATE �Agcu '+> > QQo — <br /> LICENSE N0. BRI��K' S HS 148LE_ I <br /> ADMINZSTRATOR PHONE N0. 575-0497 <br /> VALUE OF WORK `� �s� • QU (do not include taxes) <br /> (fOr COtItt�EPCia woTk <br /> USE OF BUILOING RESIDE'�T1AL / Commcrrial — <br /> pp�; WAC 296-46-140 requires that plans for electrical woik at educational, <br /> Snstltutional or health care facilities be approved by the State ot <br /> Washington. Appllcants with such �obs must show the State-approved plans <br /> before a City of Eve:ett permit will be issued. <br /> WORK TO BE DONE: <br /> Ins ection of Intrustion Alarm . <br /> �; <br /> DATE <br /> SIGNED : <br /> FIpTE$ qhD COMMENTS: <br /> 6/10/87 <br /> 1928H <br />