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CITY OF E`�ETT <br />ELECTRIr,AL WIRING FFRMIT APFLICATION <br />JOB ADDRESS <br />TEi�ANT <br />FftOPE3TY OWNER <br />33.�1 F�y� <br />EIECTRICAL CON'fRACTOR <br />LICE�SE N0. <br />A�MINI57RATOR <br />DATE: ; �� c � � ,P <br />� cy <br />�e• 75 <br />/ C <br />�`—> ��.n �.:� C_ �� l �Y� C <br />EXPIRATIOPJ DATE <br />, �;�i7 ��•%,,�t'�� ,i�7' PHONE N0. ���� '� // � <br />� <br />VALUE OF WCRK (do not include taxes) <br />(fr�r commercia w%rk , <br />, <br />USE OF 6UILDING /1 c J/ <br />NOTE: WAC 796-46-140 requires that plans for electrical work at educational, <br />inst'_tutional or h=alth care facilities be aooroved by the .State of <br />Washington. Applicants with such jobs must show the Sta'te-appioved plans <br />ber'uie a City or Everett permit will he issued. <br />WORK TO BE OONE: <br />l' �,�. �l � <br />, � r _ <br />SIGNED : � ; a / 7 .,� '- L DATE �� ' � �� � <br />NOTES At� COMMENTS: � <br />I: <br />6/10/87 <br />1928H <br />