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� � � <br /> CITY OF EVERETT DATE: � 2 ,3i I9�� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: �2,39�•�� � <br /> i <br /> � <br /> JOB ADDRESS 2 Z, Z G✓• Gas i H o <br /> TENANT Horr2.oH S��+ee� <br /> �oP�TY OwNER �1/Ju k i I h.v S�!„e I t�i;r�'. <br /> ELECTRICAL CONTRACTOR Lis�tr E /tc� �I <br /> ELEC. CONTRACTOR'S MAILING ADDRESS /� Q, �,7 aX 33 S79 II <br /> LICENSE N0. ND�/�C EC �//�R� E�IRATION DATE I <br /> ADMINISTRATOR Cv�r� /�{Oo�er PHOrE N0. ,s��- a�f9i <br /> VALUE OF WORK 2 Y9, 00 0 (do not include taxes) <br /> (for commercieTworkT' <br /> U5E OF BUILDING SC-�ie� � <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the 5�`.ate 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 /> : �� .C-/VIPG� �`kSfr�rG�ion OT 2p�iv�. Cc�eO� <br /> SIGPlED : �?���u.� �� DATE S '2,3- �9 <br /> NOTES AND COMMENTS: <br /> I <br /> I <br />