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i <br /> i <br /> v ,r�, <br /> CITY OF EVERETT DATE: <br /> ELECTRICAL WIRING PERMST IIPPLICATION FEE: �2S°� <br /> JOB ADDRESS �/l l,v�sr l"�r.�r� -- -- -- -------- — <br /> TENANT <br /> PR�ERTY OWNER _�j'�/1 y �vTcSD.2� <br /> ELECTRICAL CONTRACTOR `Tyrj�•v ��i�'av�i✓t�T <br /> , ELEC. CONTRACTOft'S MAILING ADDRESS �D• T,fOX /���/ ,��� ' <br /> LICENSE N0. ��i1/�7 r_ /�� EW�IRATION DATE /o�gs <br /> AUMINISTRATCR PFiOrE N0. �5 r.?//i <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia wor <br /> USE OF BUILDING /1'�iuT.tl� �/,�ic��i�/ <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educatio�al, <br /> � institutional or health care Pacilities be approved by the State of <br /> Washington. Applicants with such ,jobs must show the State-approved plans <br /> before a City oP Everett permit will be issued. <br /> � <br /> WORK TO BE DONE: <br /> i <br /> �/J /OIV�� � � <br /> � <br /> _ � <br /> _ II <br /> ' r <br /> SIGNED : i'. DATE + <br /> NOTES A COMI�ilTS: <br /> � <br /> i <br /> � <br />