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CITY OF EVERETT Di1T�: (� � 2 � � � / <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: �„_, <br /> JOB ADDRESS / / O N <br /> TENANT <br /> PRCPERTY OWNER � /�/l r <br /> ELECTRICAL CONTRACTOR N'GG � K <br /> ELEC. CONTRACTOFt'S MAILING ADORESS S/f1�l� .�S fl� <br /> LICENSE N0. E�IRATION DATE <br /> � <br /> ADMINISTRATOFt PHONE N0. — <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia wor <br /> USE OF BUILDING J ��� <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 /> befure a City of Everett permit will be issued. <br /> WORK TO BE UONE: <br /> . � . <br /> W/e/N t <br /> --a�iG'i+ct� • <br /> �:v /+► . <br /> • �j� � -Z� - �9 <br /> SIGNED : Nt. �/G�.J� DATE <br /> NOTES AND C MMENTS: <br />