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t <br /> ,"`; �+`' <br /> �n � ���T DAT'c: s/y/yo <br /> EIECTRICAL WIRING PERMIT APPLICATION 3 S �' <br /> F�: <br /> �B ADDRE55 d41V 8ak�r A�� � Eoarifi� u�4 i i <br /> TENANT , � <br /> i <br /> FRC?E'iiTY OWPER �J,'�I W . ��„",� <br /> � <br /> ELECTRICAL CONTRACTOR • _� � . <br /> ELEC. CONTRACTOR'S MAILING ADDRE:= a121 R.�M�:� Q�r <br /> L:CENSE N0. EXF?RA.';.ON OATE <br /> ACMINISTRATqi PHONE N0. _,��y . �y� � <br /> VAI.UE OF WORK (Co not inclutle taxes) <br /> (for commercia work <br /> OSc CF BUILDING _ses�d�..+i�l • <br /> NOTc: WAC 296-46-140 reouir=s that plans Po= e1=c::ica1 work at educational, <br /> institutional or health care Pac_lities be app:ovec by the State of <br /> Wzshinoton. Applicsnts with such �cCs r..;:st shcw the State-approveC plans <br /> before a City of Everett permit will be issued. ' <br /> 'NGRK TO BE DONE: II <br /> . � <br /> �,« o.,� wdd loo n ,t r ,',� <br /> I <br /> — I <br /> SiGNp : �s`0 W. 13c�,:-• DATE SfYfq� I <br /> NOTcS AN� COMMENTS: i <br /> i <br />