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,_,,,. <br /> CITY OF EVFRETT DATE: � - l Z " � " <br /> ELECTRICAL W7RING PERMIT APPLICATION �E: <br /> JOB AD�RESS l 2-lv W C S i c �S � f�1 t� (1 O . <br /> TENANT <br /> �o�arv aw�x � ` c_nu �it� �-��s�(�•,c ����� <br /> ELECTRICAL CONIRACTOR ��SS i"�n^' ���� • ���C . <br /> LICENSE N0. ��SS Mt= T \�l"1 L� EXPTRATION DAiE � � JJ - � 1 <br /> ADMINISTRAT4i ( � (z�SS M�n �! PFIONE N0. ��5`1- 5`� 2- � <br /> VALUE OF WORK �}000'� (do not include taxes) <br /> (for cammerci work . <br /> USE OF BU710ING MJ LT� F n "�` 1 �`-'� � P� �-k <br /> NOTE: WAC 296-46-140 requires that plans tor electrical wcrk at educational, <br /> Snstitutional or health care facilities be approved by the State of <br /> Washington. Applicants with such �obs must show the State-approred pians <br /> bePare a City oP Eve:ett peanit will be lssued. <br /> WORK TO BE OONE: • <br /> Wl� c �l PI�k� S � � f� . �- Q . <br /> � 1 <br /> SIGPED . ��\,�` ' oa� � - i Z"�b <br /> rro�s aw co►.��rs: . <br /> 6/10/87 <br /> 192EH <br />