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� <br />CITY OF EV�ETT <br />I �[CTRTCAL WUZING PCRMIT APPLICATION <br />JO[i fiDORCSS �`� <br />TENANT <br />PROPERTY OWNGZ <br />� <br />DATE: <br />FEE: <br />SGe�TF � <br />GOCUCN f-/�$H76N5 ' — <br />EL[CTRICAL CONiRACTOft� PjcrZ�2r�t N��1 Il��- — <br />LICENSE N0. " c 2t� � � C,: 3'��t` D C_ tXPIRATION DATE 2'2 g'`�o • <br />ADMINISTflATOFi / � JaRvUow PHONE N0. 7 76 -$ 8 3>' <br />�' <br />VALUE OF WOFiK '3(vo� ido nat includc taxes) <br />(For'commercia�'ork3— . <br />USE OF DUII_DING c�n.t 2� <br />NOTE: WAC 29G-4G-140 requires L•hat plans for elccl:rical work at educatienal, <br />insCitu':ir�al on c�alth care faeilSLics be approvcd by the State of <br />Washington. Applicants with such jobs musL show lhc SLatc-arproved plans <br />beForc a City of Evcrett permit will bc issued. <br />WORK TO C�[ DON[: <br />ST�c. L <br />SIGPJED : v �^'�-� 1 ' �� DATC 3�I S ` �I / • . <br />NOTES ANO COMNENTS: <br />G/10/07 <br />19201i <br />