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,�-•v <br />CITY OF EVE�ETr DATE: _�j - �q ' �� <br />ELECIRICAL_ Wgi�JG Pt3�MIT AFPLICATIpN oU <br />. . FEE: � S <br />JOB A�ORESS _� Z O y !y ,�}/G H�9�v �' <br />mvaNr _,�'l�C�C.�' ,�'�aTl� <br />t�iOPE�c TY OWNEEi �� <br />// <br />ELECTRICAI. CONiFtACTCR _ ��G/�// /_=C/�C_ <br />LIC�JSc N0. ,tiJ��7/�V/c�/%-r'/�� EXPIRATION �AT't Z- 23 - J�/ <br />aoMiNr.s�xarc,a � i''r�/G /��,� �- /��G /�%j FYONE N0. Z. � z- S/ B 9� <br />VALUE OF WORK (do not include taxes) <br />(for commerci work <br />USc �F BUILDING Sf!}� <br />NOTE: WAC 296-46-14D requires <br />institutional or healt <br />Washington. Applicants <br />ber"ore a City oP Everett <br />WORK 7D BE �ONE: <br />that plans for e:.ectrical work at educational, <br />h care facilities be approved by the State of <br />with such jobs must show the State-appro�.�ed plans <br />pe:.mit will he issued. <br />� _ �F G T �'i.eCc�r�-�" � <br />� /—'i`t� .���.G/�Gs GL� 09/�/!,c <br />�I� <br />SIGNED : ���.e4// � � DATE � �' � - �f <br />�': <br />NOTES ANO COMMF7VT5: <br />6/10/87 ` <br />1922H <br />