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���� _ _.,,.:.,..., . . <br /> � <br /> ��� _ ,.,.; - <br /> :� o ' � <br /> ro��tl DATE: � � i ' <br /> � CITY OF EVERETT <br /> �z ELECIRICAL WIRIMG PERMIT APF'L.ICATION FEE: �_ <br /> � <br /> OH <br /> O <br /> ��n . . „�' . , �. � . � . . <br /> H �pg ADDRE55 <br /> r H� TENANT � ' � <br /> �y y <br /> p�t~p FROPERTY OWNQi � � � <br /> ��3� ELECTRICAL COt�TRACTOR "� � ', "�� <br /> O ' <br /> v' // EXPIRATION DRTE <br /> LICENSE N0. ,_ � ,�- ��` `�- <br /> ' � PHONE N0. -'ti ' _ L. ---�'�'7 <br /> ACMINISTRATOR -� � - . � ;� � <br /> VALUE OF WORK �. � 1 - �' � (do not include taxes) <br /> (for commercla work <br /> USE OF BUILDING ' '' �� /�?r <br /> Np7E; WAC 296-46-140 requires that plans far electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> r before 3�City Aof Everett permituwill be issued show the Staf.e-approved plans <br /> I C'` <br /> i <br /> � WOFiK TO BE DONE: <br /> C� !' � , � - � . , <br /> � �� <br /> I �� <br /> `� <br /> �� <br /> � �� DATE � - � <br /> I SIGNEC) : <br /> NOTES At�D COMMENTS: <br /> I '� <br /> \ <br /> U1J/E7 <br /> 19�EH <br />