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� � � <br /> cirr oF ��-r oaTe: �S�/>7`• / Z /%f� <br /> ELECTRICAL MIRING PEAMIT APPLICATION F�: <br /> JOB ADDFiESS <br /> �rwNr D e�`I,�� <br /> PRO'ERTY OWPER �0 �� �r G� <br /> ELECTRICAL CONTRACTOR � /�� �`., � � �`� �� � <br /> ELEC. CONTRACTOR'S MAILING ADDFiE�S S^` G% �' � S_ L�/ <br /> LICENSE N0. ��/��J�I.:�I��/�,�EXF_TRP.TiON DA7E / G'�� <br /> ADMINISTRAT� �a�� �; • � v�� Pfp� �. �/�7- ���O <br /> �a"� � w� � Gy� �y (Co not include taxes) <br /> (for commercia wor <br /> USE OF BUILDING fit/ e y O��-( -e <br /> NOTc: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approveC by the State of <br /> Washington. App]Scants with such fobs �r.ust show the State-approved plans <br /> bePore a City oP Everett permit will be issued. <br /> WORK 70 BE DO�E; <br /> i�i�weG� a%��✓ /'� �/`,�� <br /> , <br /> SIGNEp :4C_�'" � DATE S / . � ���' <br /> NOTES AND COI�AfENTS; T <br />