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CIi" CF EVERETi <br />ELECTRICAL WIRING PERI4IT APPLICNTION <br />JOB A��RESS <br />V �F Y <br />DATE: I� Z%�_1 <br />FEE: <br />_ �� � <br />TENANT V v I 0 �" E L O ._ <br />FROPERTY OWNER �-� Sts o n � o Y,� i �, <br />c � <br />ELECTt�ICAL CONiRACTOR I'�'T l. � Q G+'r 1 C L�. Y� � <br />LICENSE N�. �� C�-E 1� 15 �1 � 1 EXPIRATION DATE ���'L4- q � <br />ADMiNISTRATOR � h o�rn Q S rn��� � rn�Y� PHONF �0. _`�� j-S ���/� Q Z. � <br />VALUE QF WORK ��,S���U ido not ir,�lude �axes) <br />(for commercia work <br />USE OF BUILDING (I ��Y�l� �V19 I-e-L +' <br />NOTE: WAC 296-46-140 requires that plans for electrical work at edi�c�tional, <br />institutional or healih care facilities be 2pproved by the State of <br />Washington. Applicants with such jobs must sf�ow the State-approved plans <br />before a City o� Everei:t permit will be issued. <br />WORK TO BE OONE: <br />�•�e�i�'r���� �vie� �'o f�.�� <br />SIGNED : <br />NOTES AND <br />6/10/87 <br />1°28H <br />v�C��'.C�,� <br />oat� ��i �j �a <br />