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� i <br /> CITY OF EVERETT DATE: I o - 1 q -�6 � ' <br /> r �� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEt: ���T�'' `1 � <br /> /�i(1 � � # � <br /> JOB ACIDRE55 ��� L.0 - ���Q � <br /> TENANT I�oE�N6 �o — <br /> �c�a�trv owrr� 1'soz�� Co — <br /> ELECTRICP� CONTRACTOR �2�M� �r ( � T t t <br /> �y��:�E �,�p. _l��a EXPIRATION DATE <br /> AOMINISTRATOR ai-roNE r,o. 3q I - $�-3� <br /> VALUE OF WORK � � ���do not include taxes) <br /> (for commerciar work <br /> USE OF BUIL�ING b-��-< «S <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> instituticnal or health care Pacilities be approved by the State oP <br /> Washington. Ppplicants with such �obs must shuw the State-approved plans <br /> befare a City of Everett pezmit will be issued. <br /> WORK 1D BE DONE: J <br /> il�r�c � �� lvraol.? / c� 7T�C�G bc.i��/•+aS <br /> � � OATE lO / /ES <br /> SIGf�D : � <br /> NOTES APD COMMENTS: � <br /> biioie� <br /> i92eH <br />