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CITY OF EYEREl7 � <br />ELECiftICAL WIRING F�ZMIT AFFLICATION <br />J(18 ADDRE55 9 `%, <br />TENANT . � <br />FROPER7Y OWNER <br />ELECTRICAL CONiRACTOR <br />DAiE: % � �� <br />�e: ��,S,S � rrJ <br />� <br />� <br />r � <br />�j< <br />LICE��SE N0. �(�(�� r� �/`Sy v�� EXPIRATION DATE // �c� �9L <br />ADMINIS7F2ATCR G�n �, Z, �� ���o�az_,J FHONE N0, %�J�f o j`� / <br />VALUE OF WORK y0 00.�..°= (do not include taxes) <br />ifor commercial work <br />USE OF BUILDI�'G _ n'i-�- r C�, <br />NOTE: WAC 296-46-140 :equire, that rlans for electrical work �t educational, <br />institutiona'_ or health caze facili'ties be approved by th= .State of <br />Washir.gton. Applicants with such jobs must show the St�te-�pproved plans <br />before a City oP Everett permit will be issued. <br />WORK TO BE �ONE: <br />.C/Qtil� <br />SIGNED : �yo*-�i' � �'J �•�2aL..�t� DAiE �/ / � �1 / <br />_�_ <br />NOTES AND COMMENTS: <br />6l10/87 <br />1928H <br />