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i <br /> cirr oF Ev�Err , l Z�� /S�S -�' (� a�� <br /> DATE: ��, <br /> FIECTRICAL WIRING PFAMIT AFPLICATION �`: • <br /> —�_, <br /> �os aooREss.. _ 5—C�G� P r ,,.� E S � F_ �� <br /> ' �ruwr <br /> � �o�Tr owr�t _ �O �A ��2 G-� S o �J <br /> ELEC7RICAL CONTRACTOR L✓OJQ�=z�(C p �_L ,c c � � � � <br /> LICENSE N0. (..,J`�,�(�Ft S 3 $ 0 P p�IRATION DATE <br /> aorur�is-rRaTqR .� 1� ��P i�0 �� rro. 2s Z — x S �Is <br /> VALUE OF WORK (do not include tazes) ' <br /> (for commerci workl <br /> USE OF BUILDING �Q E g . <br /> i <br /> NGTE: WAC 296-46-140 requires that plans for e?ectrical woric at educational, � <br /> institutional or health care faci.l3ties be approved •by the .State of <br /> ' Washirgton. Applicants with such jobs must show the State-�pproved plans <br /> before a City of E'verett pexmit will be issued. <br /> i <br /> WORK TO BE DONE: <br /> S t=-(L J�c� C�-t ��.-� i o Z� � /n,-sv S �,/z��u� . <br /> SIGNED : � � Z— DATE 7 /Z� `S' S <br /> N07E5 A�C 75: ' • <br /> 6/10/87 <br /> 1928H <br /> � <br />