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CITY OF EVF}tEfT <br />ELECiRICAL WIRING FE�tMIT �1FFLICATION <br />JOB A�DRESS <br />oaTe: '� // � " �_ <br />��: ;��c� <br />�^- < c � <br />TENANT CJ� T � <br />. <br />FftOPERTY OWNER F �/ < �. � � � h �� � <br />ELECiR2CAL CONIRACTOR •�� � � <br />'F' v h �_ � „ .; . <br />LICENSc N0. %' �� j�/� j L F�G• �� I��� EXPIRATION DATE <br />ADMINISIRATOR �{'� " /� '� �''�� � <br />/�Gt 1 r J�� �-, � I 7� ., FHONE N0. - y, �_y�l_S � <br />VALUE OF WORK �' °� <br />��O � (do not include taxes) <br />(for r.ommerciTwork) <br />USc OF BUILDING � �� �h ,p„ � <br />NOTE: WAC 296-46-140 requires that plzns ior electrical wor'�c a� educ�tional, <br />institutional or health care facilities be 2pprov=d by the .State of <br />I4ashington. Aoolic�nts with such jobs must show the State-;.�proved plans <br />berore a City oP Everet� pe=mit will be issued. <br />W�JRK iU 6E DONE: <br />i <br />SIG�VEO : � �� .� � DATE J �' <br />NOTES P.NO C0�IMFJJTS: <br />6/10/fl7 <br />1928H <br />