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� r"� <br /> :.ITY OF EVERETf DATE: /c ' -S ' �,�/ <br /> F��•�TRICAL kIRING PERMIT APPLICATION Fc: <br /> JOB A�CRE55 --�f� ;�c� ��o rz�•ck �r J�° ,-.t� vn.; <br /> TENANT _ [.,-T�;F(.nN 13nc,lit��-.c���� <br /> FRC?�TY OW�E�n 73t�c.l�A�,,: ��c� <br /> --� <br /> E1ECTr�ICAL CONTRACTOR L�XCF� � IEc77r�c�' SE Kv,c.G� <br /> E'_EC. CONTRACTOR'S MAILING ADC#�E=.; _(2 2 C- /-s�`3 S E T3��-/J�r<� ��1--,•0/2 <br /> LiCEPLSE N0. rx�E ( Fs / 2 3 v, EXF_RA-iON DATE � t.d �v <br /> ACMINISTRATQ3 I� S/�� K P E PF'ONE N0. '?y2 �_.S'�7? <br /> vALIJE OF wORK /1 �7�� t-o (Cc not inciude taxes) <br /> (for commercia�wo:k <br /> USc GF BUILDING C c.tii,�-��ie c i�! Li 'r �_��E <br /> N�TE; +�AC 296-a6-140 reaui_=s that plans `o_ electric;l werk at educational, <br /> institutional or health care fac'_lities be approveC by the State o` <br /> Washinoton. Arplicants with sucn �cbs ��.ust show the State-approvetl plans <br /> before a City cf Everatt pe:mit will Ce _ssued. <br /> tYGRK TO EE DOt�E: <br /> 7�N A rri' //�-7 1'i?G v c l�i E r�/T <br /> J <br /> SIGNE] : /� �-.� ��7 � DATE 1` -J--�'i- <br /> NOTES AND CCMMENTS: <br />