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CITY OF EVEREI? DATe: �j —/ 2- y j <br />ELECTRICAL WIRING PERMIT APPLICATION FGG' <br />JOB ADDRESS 2�l 3 I +� �G n D�.vr�y �l �.r= <br />TENANT � i'`'� __r � MA R 1� c= r <br />PRGPERTY OW�R i? .�.� ,��L k N� i2 <br />ELECTRICAL CONTRACTOR �=xc �(_ tcf EciXit � st�v�c&S <br />o— <br />ELEC. CONTRACTOR'S MAILIN6 ADDRE�:. _ 13.. 2 6-/.94 s re (3 0//'� �'�/ `J F'•o � L <br />LICENSE N0. i�xU=c ss � z 3 cN EXFT_RP.?ION DATE 2- Jd <br />ADMINISTRATCR d� �� Iir��--n PHONE N0. _� !/ 2-�,�- �J 7 <br />VALUE OF WORK �j SU _ c,v (Co not include taxes) <br />(for commercia work <br />USt GF BUILDING P Ro �� u� E !oo G E 12 <br />NOTc: WAC 295-46-140 reauires that plans fo_ electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs r,.ust show the State-approved plans <br />before a City of Eve*ett perr„it will be issued. <br />WORK TO EE DONE: <br />r e, / fZ F'. T�1\Li /i ✓C N r o�,( r I: <br />SIGNE7J : J i ��1" �rt,� DATE � -- / Z — � i <br />NOTES AND COMMENTS: <br />