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CITY OF EVERETT DATE: %- '.�-'-� '� � <br /> ELECiR2CAL WIRING PERMIT APPLICATION FEE: ��r,�r� <br /> 13i3 � <br /> r �j <br /> �B Q��REJ$ � � � ��7 ��_�.i�/ _'„i���� % <br /> � <br /> TENANT l���"/J,(lT <br /> �o�rr owN� ��'�1 i= <—�T��J,�� <br /> ELECTRICAI� CONTRACTOR /y/ � � '_/� <br /> LICENSE N0. EXPIRATION DATE <br /> AOMINISTRATOR PHONE N0. '�>r. �� C� � � � IAI�1 <br /> VALUE OF WORK (do not include taxes) r (,������'�� <br /> (for commercia work <br /> USE OF BUILDING ��) (^ ► =�- <br /> NOTE: WAC 296-46-.140 requires that plans for electrical work at educational, <br /> institutional or health care far.ilities be approved by the State of <br /> Washington. Applicants with such ,jobs must show the State-approved plans <br /> bePore a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> � ' � � �� ��'(.�;�=1�?l1 fr'tc•I�( � �4�� — <br /> / • '��n.., � ' DATE -' 'Y �.? <br /> SIGNED : .�/�/ �?o�� �' ��_ ,�� � ,,. <br /> NOTES AFD COMMENTS: <br /> 6/10/B� <br /> 1928H <br />