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cm oF cvm�rr � <br />� <br />ElECiRICAL WIliING PQIMIT APPLICATION <br />DATE: <br />,�, <br />f EE: <br />�oe a�azrss 1 y � S SC . �T/ r R en� ti i; ►ti�-- l,� y S� � Z C . <br />�arrr <br />PROPER7Y OWNR C Ef'-C-�f /L�/Y�-�- IAL.�iZ�1 <br />ElECTRICA� CONiF2ACTOFi' %t`F�.�►" �l �1I �/J• I •� � � <br />LICENSE N0. l� ��Ai N�- ����� EXPIR'ATION DATE <br />ADMIP.'ISTRATQZ �/��/c �n`N�) PNON� N0. <br />yp�� pF wp� ��) �p °-' (do nat includ <br />(for•commercia�rk <br />USE OF DUILDING LUA� N1 (�C- ���L ' <br />2-28-i0 <br />�77� � S� �� <br />c taxes) <br />NOTE: WAC 27G-�+G-140 requires that plans for elcctrical work at educaticnal, <br />institutio�al or licalth care fac111tics bc approvcd by thc Statc of <br />Washirx�tor,. Applicants H•ith such jobs mwL• show thc Statc—approved plans <br />hr,fore a C.Lty of Evcrett permit will bc issucd. <br />WORK TO BE DON[: <br />N��,�� <br />;JIN 5' <br />Z <br />SIGNED : ����'�.. `�/I � �'P� � DATE �—} �S��I ' <br />NOTES AND COMNENTS: <br />G/10/07 <br />192CVi <br />� 'u,-• <br />;: <br />.r,� <br />r� ' <br />