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CITY OF EV-RE17 <br />ELECTRICAL WIRING PERMIT APPLICATION <br />7, D'+.TE. -; ci <br />JOB ADDRESS <br />TENANT ` s� �� \� O h AJ <br />FEE: <br />PROPERTY OWNER 7- (ti 0 c- ) y f1 Il C- - t-7 <br />ELECTRICAL CONTRACTOR E L l_ SEP V IC �_' VF L. L;,C_ I �� C- 1 A -C <br />LICENSE NO. %-\L L S +z1 T/ Z S L- N� EXPIRATION DATE 6- I S� -( O <br />ADMINISTRATOR �V 1Z PHONE NO. YJy <br />VALUE OF WORK 5 O -� (do not include taxes) <br />(for commercial -work)' <br />USE OF BUILDING c?P-F-LC fy <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 show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />l i 13 t7 <br />SIGNED � �' �� DATE <br />NOTES AND C MMENTS: <br />6110187 <br />1°28H <br />