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� <br /> CITY OF EVERETT DATE: � —p�- 1 ` !>� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: �".J� <br /> JOB ADDRE55 r i r o c�Se� A� �I(• <br /> TENANT GE��eD A • �AHL//N <br /> PRCPERTY OWNER GE2�4eD A . D��G/M <br /> ELECTRICAL CONTRACTOR Q'�AI�+K. <br /> ELEC. CONTRACTOR'S MAILING ADDRESS <br /> LICENSE N0. E�iRATION DATE <br /> ADMINISTRATOR PHO� N0, a53��f51 $ <br /> VALUE OF WORK (do not include taxesJ <br /> (for comnercia wor <br /> USE OF BUILDING ��� <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 per.mit will be issued. <br /> WORK TO BE DONE: <br /> _�jT�DitiorJ ,Q�e 200»1 , ,ryED ,Qaorw ,,� ,B�¢f�i <br /> e.C-l�thS/a .+ D� eXIS ��Ks Seru1G� r <br /> SIGt�D : ��� . �/C�,Y��Q�, DATE � �� l ' d / <br /> NOTES AND COMMENTS: <br />