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0 <br />CITY OF EVFRETi <br />ELECiRICAL WIRING FEziMIT APFLICATION <br />JOB AOORE55 <br />IE�ANT <br />FROFEFtTY OWNER <br />DATE• ;�EJ3 ;c., J J8% <br />FE=. <br />l0/0 — '7�'�.4�E �vEiz�77— <br />.� L.owi t L�hi �� "iv e �„ S 7i L r.��F!/ <br />ELECTRICAL CONIRACTaR E X c E C• C r E �rizr � t.3 t r� � ���s <br />LICEISE N0. <br />ADMINISiRA'f�R <br />EX ckt%t � 2 3 cy� EXPIRATION OATE �F6 Gj�� <br />�.Sy„qZ�� FHONE N0. r7�/2-SSGj7 <br />VALUE OF WORK �do not include taxes) <br />(for commercia work) <br />USc OF BUILOIhlG ,s / f( G t E ��t iti !I y )� �J � ll E t-.� C_ � <br />NOTE: WAC 296-46-140 requires that plans for electric2l work >t educational, <br />institutional or health care Pacilities be �pproved by the State of <br />Washington. Aoplicants witl� such jobs must show the State-approved plans <br />before a City or Everet� penu_t will be issued. <br />WORK TO BE DONE: <br />C14AN EIFC7),��cN( CEI�VICEJ <br />SIGNED : <br />NOTES ANO COMNENTS: <br />C/�l� 2.�2 -�5�� Tb G,�T 56��� oWt <br />H° "S � ir V,q c,�� w I <br />eiioia� <br />1C�:,L.'4 <br />OATE <br />77i O !� � /J � <br />