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CITY OF EIERETT DATE: _ 8 - µ -g j <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: �'7 SG <br />JOB ADDRESS ��pp - 35-11' 'Ue. NUJ <br />TENANT I i EN �e Bou <br />PROPFRTY CWNER S po n^6 4sk ljd3c�E <br />ELECTRICAL CONTRACTOR NIMS BL�Tf_Ic 1NL <br />LICENSE NC. T N\SEI • I I � 1 0 i) _ EXPIRATION DATE <br />ADMINISTRATOR &";K 4'Dybe PHONE NO. +S2,-1234. <br />VALUE OF 'WORK(do not include taxes) <br />(for commercial work <br />USE OF BUILDING Lumbar Yri <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or heelth care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State -approved plans <br />before a City of Eveiett permit will be issued. <br />WORK TO BE DONE: <br />�RoJl�6 Cal c KTS. To 1'{ Ac e-qu( A ENT <br />SIGNED : _ _ tiA1 s� " \�:�1 DATE <br />7 <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />