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r`• _ <br /> CITY OF EVERETf DATc• �t�' ,�-U . �j�T <br /> 0.ECTRICAL WIRING PERMIT APPLICATION p�; <br /> i rt�_ <br /> SUV� � v v I�. ,Q <br /> �'OB ADCRE55 � 't I� �8� ��( �„n ��;C� <br /> TE�ANT <br /> PR�ERTY OW�ER Ju.c�rL (��.�,� �, <br /> ELECTRICAL CONTRACTOR �I��V3 �'C.'�t' ���G--t'i'T/Z!(� <br /> ELEC. CONTRACTOR'S MAILING ADDRES� _p� C7� t7Uu 3 3 l�d�Q,� <br /> _!/�L��ia;�.. <br /> �ICENSE N0. '��ZO�NL1'S�,� (5 Z,D i/� EXFIRA'i0N DATE D ,�Q <br /> ADMINISTRATQi � VyL PHONE N0. "��/ S�T7 <br /> VALUE OF WORK ��(7(,�. � Co not include taxes) <br /> (for commer�ia wor <br /> USc CF BUILDING _��� '4p�p�C�� ( � �lv�Jy�{��rTj�� <br /> 1 <br /> NOTE: WAC 296-46-140 reouires that plans for electrical work at educational, <br /> institutional or health care facilities be approveC by the State of <br /> Washington. Applicants with such jobs �-.ust show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> ;40RK TO BE DO�: _ <br /> f�t////�,� ��2:�.�C�%GGc.s�i <br /> �7 <br /> SiGNED : ,; � DATE � � Jv <br /> NOTES AND COMM 5: <br />