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.� <br />CITY OF EVERETT <br />0.ECTRICAL WIRING PF�iM7T APPLICATION <br />JOB ADDRESS <br />TENANT <br />Ff20PE2TY OWNER <br />C`, <br />DATE: � ' � - <br />FEE: � j . On <br />I _J / <br />ELFCIRICAL CONiRACTOR S P-a h�f it I- I � �� f r c- <br />LICENSE N0. S�.A�-� (1 r L I�% R� EXPIRATION DATE � y a� <br />ADMIN::S �fiNTOR S c� n e ��n r, r�� PHONE N0. '2--5 �?i ' I�i �i2. <br />VALUE OF WOR.K (do not include taxes) <br />(for c:ommercia work <br />USE OF BUILUING (�e S� r� en �, m � <br />NOTE: WAC '?96-46-140 requires that plans for electrical work at educational, <br />inst::tutional or health care facilities be approved by the State of <br />Wash°ngton. Applicants xith such jobs must show the State-appruved plans <br />befo_e a Cicy of Eve-ett permit will be issuzd. <br />WORK TO BE DONE: <br />�'L-\�i�rc_ ��r�_ C'u�,ctqc_ CAIi�I�.v�j'�J,� <br />SIGNED : ���! �� ��i��t,_ _ DATE � � � - }�.� <br />NOTES AND COMMENTS: <br />6/10/97 <br />192EH <br />