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CITY OF EVERETT <br />� � <br />DATE: / �` � �/ <br />T� <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS S�/� F�-e- m i N�i <br />TENANT S2 ��- <br />PRGPERTY OWPER C� � SP�Q �iJ TeR�'� 65� S <br />ELECTRICAL CONTRACTOR Se �� <br />ELEC. CONTRACTOR'S MAILING ADDRE�� `— <br />LICENSE N0. � <br />Ftc: <br />EXFIRP.?ION DATE — <br />ADMINISTRATCR �-- PHONE N0. �L�- 3 S 3 02 [ 3% <br />VPLUE OF WORK n' �3 Sb %� (Co not include taxes) <br />(for commercia wor <br />USE GF BUILDING x� IPe„�i'i4�- <br />NOTE: WAC 296-46-140 reauires 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 �;.ust show the State-approved plans <br />t <br />before a City of Everett permit will be issued. <br />WORK TO Ec DOhE: <br />-DD Svm <br />SIGNED : <br />NOTES AND <br />� a <br />DATE ������ <br />h <br />