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CITY OF EVFRETT <br />EI.ECTRICA�_ WIRING PERMIT APPLICFTION <br />JOB AD�RESS <br />TENANT <br />FftOPERTY OWNER <br />DATE: ��-- I v I� I <br />FEE: C7�,..�_V <br />� �Z � _ f`+"0�� <br />ELECTRICFL CONIRACTOR > L�f �} � I c � tr c�' n�• � <br />LICENSE N0. <br />S r A 1-1 U F T 1�{'�l � p EXPIRA?ION DATc ���2- <br />1 L PHONE N0. 2-. � � - � �� ��-- <br />ADMINI`_(RATOR � � hmr�� �a �ovrn — <br />VALUE OF WORK � Z- p p 6 (do not include taxes) <br />(for commercia work�' <br />USE OF 6UILDING Q e-� � <br />roved by the State of <br />NOTE: WAC 296-46-140 requires that plar�s for electrical work at educationa , <br />institutional or health care facilities be app <br />IVashi.ngton. Applicants we�it�Will be issued show the State-approved plans <br />before a City of Gver�tt p <br />WORK TO BE OONE: <br />U.)!'unc-�L r� <i�'i � <br />_��/G7�/� DATE I 7 - �n - � <br />SIGNED : �� � �� <br />N07E5 AND C7MMENTS: <br />��e.� 0.�• �to Cover <br />6/10/87 <br />1:32FH <br />