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CITY .OF EVERETT DATE: 6 � Z 2 � y � <br /> ELECTRICAL WIRING F'ERMIT APPLICATION FEE: <br /> JOB ADDRESS � !- I � ��"'� �� " � <br /> TENANT �/ . <br /> PROFERTY OWNER /��� ��,! �j� � " � '� - <br /> � v <br /> ELECTRICAL CONTRACTOR I �l//'�'�S� "} ��� �� � <br /> ELEC. CONTRACTOR'S MAILING ADDRE55 �����`S� ����"� — <br /> LICENSE N0. /(/!G SS ����`��y� E�IRATION DATE I Z ,lj � _j� U <br /> -�1�� � PHONE N0. .j3� ��35/ <br /> AUMINISTRRTCR �'�w <br /> VALUE OF WORK /D(J � (do not include taxes) <br /> (for commercial wor <br /> USE OF BUILDING ��1� : <br /> i <br /> i NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> � institutional or health care facilities �e appro��ed by the State of <br /> Washington. Applicants with such jobs must show tha State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO 6c DONE: / <br /> � � O O tLt� � .� L� <br /> SIGNED : I�/ °``i/ / " " �'�'ti`_' DATE �f� Z —�� <br /> NOTES AND COMMENTS: <br /> A. <br />