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CITY OF EYERETT <br />EIECTRICAL WIRING FERMIT AFPLICATI�N <br />�os aooRess <br />TENANT <br />FROPERTY OWNER <br />DATE: : c�- �a. �D <br />t�t�Ctl �'la�I <br />/3a?/ €,�r�-� Gvi� <br />f`�/iriF_ �A.PAtit/ <br />C%���/l/O GU /L� <br />ELECIRICAL CONiRACTOR <br />LICENSE N0. /�,D, <br />ADMINISTRATOR �� <br />VALUE OF WORK l7` <br />(for commercia work <br />�E: <br />�—zs— %/ <br />S�S� %/S.� �EXPIRATION DATE � ��ok/_ � <br />��',��rJ/%l!D/�9�'//�FHONE N0. 51J "/�—d .� rS—�t'—S�� <br />�y, <br />(do not inciude taxes) <br />USc OF BUILDING �Q/Ij/1�J — ��-T�/L <br />NOTE: WAC 296-46-140 requir=s that plans for electrical work at educational, <br />institutional or health care facilities be approved by the .State or" <br />Washington. Aoplicznts with such jobs must show the State-=_pprovzd plans <br />before a City of Evere't� peimit will be issued. <br />WORK TO BE DONE: <br />r <br />� , , <br />SiGNED : . ���/C�/C/Ll/�� DATE �.�Z��-�C� <br />NOTES AhD COMMENTS: <br />6/10/87 <br />1928H <br />