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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR 0 W yV 'r <br />LICENSE NO. <br />ADMINISTRATCR <br />DATE: <br />FEE: <br />EXPIRATION DATE <br />PHONE NO. 3 S'S-- $ <br />VALUE OF WORK (do not include taxes) <br />(for commercia work• — <br />USE OF BUILDING <br />vS �-- <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the .State of <br />Washington. Applicants with such jobs must shod the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNFn (� DATE Y d <br />NOTES AND COMMENTS: <br />6/10/87 <br />1928H <br />