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� <br />,� <br />ciTv oF �Err <br />ELECIRICRL WIRING PERMIT APPL.ICATION <br />�oa aooREss 41 a y o l.i <br />oa�• � <br />' FEE: 30 eo <br />��r,r CH2�s AtZso�J <br />�o�rv owr� <br />ELECIRICAL CONTRACTOR�YjnkS i'�01Mt .SE�JiZi'{'Y ___ <br />LICENSE N0. <br />ADMINISTRATOR <br />��h�c5 iiS (yaL.� EXPIRATION DATE 3�3�-i99d <br />nd�t�r_!. L,A� VA C�Ity PHONE N0. S%.S- O yg% <br />VALUE OF WORK (do not include taxes) <br />(for commerci work <br />USE OF BUILDING TL« • cZt�t!'r��4Lr <br />NOTE; WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett peimit will be issued. <br />WORK TD BE DONE: <br />.,�n�s�on Al�rt.n Tns�crion <br />SIGhED : OATE <br />NOTES APD COMMENTS: <br />6/10/87 <br />1928H <br />4 <br />1�: <br />