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�/� G � 7 <br /> CITY OF EVERETT DATE: / � O <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: _ <br /> JOB ADDRE55 �0 /� �FD�� <br /> TENANT L�d � �C��Y�F✓ <br /> PROPERTY OWNff2 �Q� ��(�CN�EK./ <br /> E'_ECTRICAL CONTRACTOR ��A .V ) �[- — /�e� I C- <br /> LICENSE N0. ��fi�NJG �Z�S�'J�CC_ EXPIRATION DATE �/�� <br /> ADMINISTRATOR ,"y�6 /JOIU�f�� PHONE N0. ,�S'oC ��y3Y7 <br /> VALUE OF WORK ,�pQ (do not include taxes) <br /> (for commercia�workT <br /> USE OF BUILDING C(/A�E/�USE� i <br /> NOTE: WAC 296-46-140 requires thst plans for elertrical 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 permit will be issued. <br /> WORK TO BE DONE: <br /> o�0'DP'/y'''//� Jf�P(��CE � C/KCUITS <br /> � <br /> � <br /> � <br /> ( <br /> SIGNED :�%��`�( � DATE �J '�— <br /> NOfES ��iJD COMMENTS: <br /> G/10/A7 <br /> 192811 <br />