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� <br />CITY OF EVERETT <br />% <br />EIECTRICAL WIRING PGRMI7 APPLICATION <br />,�: :�.�:� <br />TL•NANT <br />� <br />DATE: <br />FEE: <br />Pao�arr owr�a EuE�C�— MM-�= <br />FlECTRICAL CONiRACTOR�� �j�1L1�1 �VEdld IN�. <br />LICENSE N0. l�Ziu1 NC 3S� DG EXPIRATION DATE C7��� • <br />ADMINI57RATOR S� 2ND�-J PHONE N0. i76—�S'g�S <br />VALUE OF WORK �290 � (do not include taxes) <br />(for'commercial work <br />USE OF BUILDING �'OM,N 1��'-f /Y�- � <br />NOTE: WAC 296-4G-140 requires that plans for electrical work at educaticnal, <br />institutional or health care facilities be approved by the 5tate of <br />Washington. Applicants with such jobs must show the State-approved plans <br />bePore a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />CLU <br />aN sm�c ���— <br />r <br />SIGNED : WL�. "", � DATE ••� g <br />NOTES MD COh7/ENTS: ' '� � <br />6/10/07 <br />1928H <br />