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ELECTRICAL NIRING PERMIT AP?LICAiION <br />JOB ADCRESS <br />TENANT <br />PRCPRTY OWrER <br />oar: <br />��U <br />�����-/�f�, � L-f, ,— Gt�9 ���oi <br />r <br />����'c�. � OY/..Q ��/��,�:' �`��� <br />�G9n{�c% /''r�ro,F';+u S, <br />ELECTRICAL CONTRACTOR •`,U/✓/T.t�c�2 e'X� t��?!'i � j <br />ELEC. CONTRACTOR'S MAILING ACORE=.: �D•i�tx �z'�3� �%�-'f�i�r,- �i,/'�'S��j <br />IICENSE N0. �//f/��///U� EXF_TRP.-iON DATE �.�� •- g/ <br />ADMINISI'RATfR �(�J � /��'�fjL��l PHONE N0. ��b'' 3�SS <br />VA�UE OF WORK ,i° �a�Q �� � (Co not include taxes) <br />(for commerci7. wnrk.. <br />USc GF BUILUING <br />NOTE: WAC 29E-46-140 reauir=s <br />institutional or h=alt <br />Washington. Aoplicants <br />bePore a City of Everett <br />;YORK TO 2E DO�: <br />�ti� i� <br />vJ <br />that plans fo_ electrical werk at educational, <br />h care facilities be approvec by the State of <br />with such jobs �;.ust show the State-approved plans <br />permit will be issued. <br />Z�7�� �i'i;%'fLi�i� ���v'�T�-%STl-G�".�I <br />UATE ���5 _�% <br />