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CITY OF EVEfiETT <br />F�C7RICAL WIRING PF�WZT APPLLCATION <br />.�os aooRFss y� � 7 <br />7ENANT <br />OATE: � - 2 C �' / <br />b�1� A-UL <br />FEE: <br />FROFERTY OWNER I � � A\I �IZ T�CIk= / ���il ) % <br />ELECTRICAL CONlRACTOR �V'/',-6ti � (-,/p���'C �,, �nc• <br />�,,� <br />LICENSE N0. ]7�TTo� ;3"7 t 3 EXP�ATION DATE <br />ADMINISTRATOR �d.,e� FH04E �0. "3�-%(� � <br />VALUE OF WORK �, Z�d (do not include tzxes) <br />(for commerci7. work <br />USc OF BUILDING <br />NOTE: 'NAC 2?6-46-140 requires that plans for electrical work a't educ2tional, <br />institutianal cr health care fac±lities be approved by the .State oP <br />W.ashington. Applicsnts �xith such jobs must show the State-:pproved plans <br />ber"ore a City of Everett pernit will be S.ssued. <br />WORK TO BE DONE: <br />� � � <br />S-eY'vi � <br />SIGNED : �y- v ` - � DATE �-'��-!Y%' <br />NOTES A COMMENTS: <br />6/10/87 <br />192EH <br />