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� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />� 31 <br />DATE: � ^ <br />5l 2 � ✓��v�,� <br />S�E � <br />s� <br />-�q <br />FEE: �5� <br />PROPERTY OWNER M�KE � Z� e. <br />EL��TRICAL CONTRACTOR �� C. /'�?Et2 SU � �CE f%�li � <br />E�EC. CONTRACTOR'S MAILING ADDRESS 33 z Z ( 3z"d S�n/ L�n/�w� <br />LICENSE N0. � C PF� l`i ( �/`� E�IRATION DATE <br />ADMINISTRATOFt �/iv�� �• %E7�/2 Sv n� pHONE N0. 7`� 3�% 9 8 U <br />VALUE OF WORK (do not include taxes) <br />(for commercia wor <br />USE OF BIJILDING SItifGL� �y}����/ �uS� <br />NOTE: WAC 296-46-140 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-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO t3E DONE: <br />�1 ! lzE fia� s� , 5 i�t i �tivtiZ 7(/ 2c�v � s�.eu,�� <br />� <br />F----T , <br />-�?i9-S %�,gT <br />SIGNED : ��i.u'�ci� �� ��''r!'iu-�' DATE �' 3 �— H9 <br />NOTES AND COMMENTS: <br />