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; -:� <br />CITY UF EVEREiT <br />ELEi,TRICAL WIRIPlG FERMZT FFrLIC`�TICN <br />.:CB ADCRESS <br />TcNANT <br />FRGPERTY OWt�ER <br />�'. <br />DATE: �I -" 5 � (� I <br />ELe�TRICAL CONTRACTC'R I �� W l� Pj� <br />ELEC. CONTRACTCR'S MAILiNG ADCRE�.: <br />LiCENSE N0. <br />ACMINISTRATCR <br />FE=: <br />EXF=RA-iuN DATE <br />PHONE N0. :{ � S�'-� < <f <br />VALU� OF '�40RK (cc not include taxes) <br />(for commercial work) <br />� , � . � �� <br />US� CF 9UiLDING �Z ��) I� c� �� <br />NOTE: 'NAC 2°6-46-1�0 _eauires that plans i'0= ��BCCrical work at educational, <br />insti�ut�onal or ne2lth czre facilit�es be approvec by the State or" <br />'Nashinoton. Aoplicznts with sucn jobs �;.ust show the State-approved plans <br />berore a City oP Everett permit wi11 be issued. <br />'NCRK TO E= DONE: <br />� � i �`r:,Y'GI <br />r�y� ��� R c�, �� a�� <br />� c>,9 % >C� <br />S � GNED : � C(/✓`�--��(, DATE C( ��^�� / <br />P:OTES AND CCMMENTS: <br />