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CITY OF EVQiETT � DATE: /!�(���� 17riL�J <br /> ELECTRICAL WIRING h'ERMIT APPLICATION �: <br /> � ��S 3�aS �ir��T�/ <br /> TENANT �/ vi/lL--.V,,S �� �d�CT- <br /> �oF�rv owr� �„��E �o�,'�,l-"erS <br /> ELECTRICAL CONTRACTOR �,(��,{ .(��P�%T�[tC10�L <br /> LICENSE N0. .C=�/TG'I� /,�� EXPIRATIO� OATE /1B4 <br /> ADMINI57RATOR f,c/A,t/�s A_ ��z Prior� rx,. /98r. -��fd-�i3T <br /> VAL�E OF WORK �,��D �� (do not include taxes) <br /> (for comnercia work <br /> US� OF BUILDI� Ce�su�'�.t-[A�C- <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 oP <br /> Washirgton. Applicants with such �obs must shaw the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TD BE DONE: • <br /> ilJkuJ �010 nn,9 �� �,Wrc.:' i c�Ti�vli. <br /> SIGNED : _ ;:'��i4t�e.aJciQ�J��7. _ DATE 3%�QR� <br /> � NOTES AW COMMENTS: <br /> ,� �zd I <br /> 6/10/87 <br /> 1928H <br />