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CITY OF EVE�ETT � DATE: I2— � �� <br /> ELECiftICAL WIRING FE�MIT AFFLICATION FEE; +�S �� <br /> �os aooREss �S(O M kP 1 c S�• EV�, <br /> ,Er,Ar,T G—c I I t � C�N S �� <br /> a�oP�rr owr,� l�-� ( �2 � CoN 5 � � <br /> E1EC7RICAL CONTRACTOR Lc,K�S M �-►—M C LL-�L��rL— <br /> LICElSE N0. L V F�L 5 MH� 31�� iZIJ EXPIRATI�N DATE <br /> ADMINI5IRATQR M�,��(L'S L,lJ G 11`) PHONE N0. "35S '�(��Qp <br /> VALUE OF WCRK (do not include taxes) <br /> (for commerci work <br /> USE OF 6UILOING I��S � aE�vTi�c_ <br /> NOTE: WAC 296-46-140 recuires that pl�ns `or electrical work at educational, <br /> institutional or health care facil±ties be zpproved by the .State oP <br /> Washington. Applicants with such jabs must show the State-approved plans <br /> berote a City of Everett permit will be issued. <br /> WORK TO BE �ONE: . <br /> �O� AMp o�Jc2 �E.4'a .Se,�v�c.� <br /> � <br /> R�s��a�ti a� <br /> N� L� G. PA"J'' .vi/Y Nc3 <br /> SIGNED : �-�✓V � — DATE ��— � '�� 1 <br /> NOTES MD COMMENTS: <br /> 6/10/87 <br /> 1928H <br />