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:,:TY C" EVErREi i DATE: <br />ELECTRICAL WIRING PERMIT APPLICATION <br />.AB ACCRE✓s 69/ % Ct -rQ (-P-C-I/ A <br />ii I <br />TENANT �-me,ri ran Pn; 6r I IPS <br />FROPERTY OWNER <br />AZ* <br />ELECTRICAL CONTRACTOR SGt �1 iS k4 i C <br />LTCE:•!S= NO. EXPIRA T ECN DATE :3a,1 <br />AC4LN:S,mATCR F.-.ONE NO. /�3�I <br />VALUE OF 'ACRK 'N <br />(for ccrJnercia_ wom <br />USE OF BUILDING <br />Ce <br />(do not include ta:c-3s) <br />NOTE: WAC 2-06-46-140 requires that plans for electrical 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-�provep plans <br />before a City of Everett ermit will be issued. <br />WORK TO BE OCNE: <br />SIG`FJ (ei�e�l6 �� J�/Iil.fl-' DAic <br />NOTES AI'D CC`"MEITS: <br />