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CITY OF E1'EREiI' ca��: _ 5� ,1 - 2G - /S'�= 9 <br /> ELEC7RICAL MIPING PERMIT APP�ICATIGN F`: <br /> ------ <br /> JCB ADL'RESS �j �6 y Q2D R /� Cc//�l/ <br /> IENANT Ti{/��T S�eL ��pT � <br /> PROPEnTY OW�ER �� �r � � <br /> ELECTRiCAL CONTRACTOR u �� <br /> ELEC. CONi}2ACTOR�S MAILING ADDRE�� z 3� y £�//�2,�y�' /-�t/�� <br /> LiCENSE N0. EXF?RP.-iOtd �ATE <br /> AOMINISTRATCft rLe�� riv�✓/'��,✓ PHONE N0. 3 � 9 •- �%3 s"o <br /> VALUE OF WORK (Co not incluae taxes) <br /> (foi comfnePcia work) " <br /> USc CF BUILDING �d,Q/r�L/� �L�¢p„S' �-� <br /> N07c: WAC 296-a6-14p :eouires that plans fo: =lectrical work at educationai, <br /> institutional or health care facilities be approve� by the State c` <br /> Washinoton. Appiicants with such jobs rust show the State-aooroved plar,s <br /> before a City of Everett permit will be ±_sued. <br /> `NURk TO BE DONE; <br /> SiGNED : _ �.�� J�,�.,,,,.��.,�_ DATE SQ�� zC� /j �_ <br /> � <br /> NOTES AND CCMMENTS: <br />