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� <br /> i CITY OF EVEREI'T DATE: — �^ <br />, E�^] 1 y �� <br /> i ElECTRICAL WIRING FEt��iT AFFLICATION �E• <br /> i <br />� <br />� JOB ADDRESS _ � 1 I O l.l�� l rl � I�lil ] 1L <br /> TENANT <br /> FROFERTY OWNER I-4 I�I�-�V'-��� <br /> ELECTRICAL CONiRACTOP, � <br /> LICE�SE N0. EXPIRATION DATE <br /> ADMINI57RATOR FHONE NO.X 6] y�j— 9��� 4- <br /> VA.LUE OF WORK (do not include taxes) <br /> (for commercia work <br /> � USc OF BUILDING � �� C��� �—f��1L1� �m � <br /> NOTE: WAC 296-46-140 reauires that plans for electric2l work at educ2tional, <br /> institutional or health care �zcilities 6e appi ,ved by the .State or" <br /> Washington. Apolicznts �dith such jobs must show the State-_ppreved plans <br /> before z City of Everett pexmit will be issued. <br /> WORK TO BE DOiVE: <br /> X��d � i R � �1��! � �c ��P � . <br /> SIG�uED : �42`L'���' =?-�,l h'= OA i"E I�� — I '7 '�q <br /> Y <br /> �VOTES A�vD COMMQJTS: � <br /> 6/10/97 <br /> 1928H <br />