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CITY OF EVEREiT' DATE: � J�~ ,�,Q)( �Q J <br />ELECIRICAL WIR7NG FEr'iMIT AFFLICATI�N .. F�c: <br />JCB A��RFSS �� s — � r .S � <br />Tu�ANT � - ��d �2� �D/Cl-� <br />FROPE�TY OWNE3 �,�`.c�� S <br />ELECTRICAL CCN7RACTGR �� ��j /it� � <br />LIC�lSc N�. /� �G/�%/C y�-��'�`EXPT'.rZATiGN OATc 2-- Z Qj —�71� <br />ADMINISTRATCR �/,//C /f j�/c L �1/� ����i� FYONE N0. 2� Z'�r �/ <br />VALUE OF WGRK (do not include taxe=_) <br />(for commercia worK! <br />USE OF EUILDING SF/e <br />NOTE: WAC 2°6-46-140 xequires that plans for electrical woric at ed�cational, <br />institutienal or health car= faciLties be approved by the Stzte of <br />Wash.ir�gton. Apolicants with such jobs must show the State-=_pproved plans <br />hefore a City oP Everett pe�it will be issued. <br />W�RK TO BE �ONE: <br />/D v 7U ZD U/3i�/%' s'.f-:!'c lilU� ('�����/U�� <br />SIGUED : ` l,iC�c /�� � DATE �— ��� —,J'� <br />NOTES AhD CCMh1E�1TS: '� � <br />6/10/87 <br />1922H <br />