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( <br />CITY OF EVERF.TT <br />ELECTRICAL WIRING FEFtMIT APPLICATION <br />(� <br />�" ' �,-� <br />DATE: ��- �� i <br />FEE: <br />JOB AO�RESS CJI � � � � �'�� 2C y / `�� ` �f " <br />TENANT 7 <br />PROPERTY OWNER 1�J�,i�Il• L��L � !1 i� ..`%PuG%lOi'7/ <br />ELECTRICAL CONIRACTOR — <br />LICF_NSE N0. EXPIRATION �RTE <br />A�MINISTR4TOR PHONE N0. <� ,� �i^=3 �'[ f,G <br />VALUE OF WORK • j�t'i�i,�% (du not include taxes) <br />(Yor commercia work � <br />USE OF BUILDING �,r�fn/l 1 -/OwE'% � '� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educatlonal, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNEO : <br />A <br />6/10/II7 <br />1928H <br />r� <br />// � <br />DATE � Y — �, � <br />