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,�, ..-_. <br /> � I <br /> �__��� l���T � <br /> CITY OF EVEREf'f OATc: � � <br /> ELECTRICAL WIRING PERMIT AFPLICATION F��• <br /> .70B ADDRESS � � c�� ���/c�G27C+ 1 � i C,1' �v`,� <br /> TENANT _ V � <br /> PRGPERTY OWPER �r�C��1\'Ylp/p . c l� lo� , <br /> ELECTRICAL CONTRACTOR � �' _ �� ��,�y�� '�Y1� , <br /> ELEC. CON7RACTOR'S MAILING ADORE�� �`Ll� 1�,��' � \�� C.�.-�M�,�� `�� �� <br /> LICENSE N0. ���'�L\L�l�� EXF?RA.-ION DATE 1 t �_ <br /> ADMINISTRATCR ��A �'-�f�p PHONE N0. ���-lp1�,y <br /> VALUE OF WORK ��,��ix (do not inclutle taxes) <br /> (for commercia work � <br /> USc GF BUILDING �o , ��f �(y�Q[,� <br /> NOTc: WAC 296-46-140 reouires that plans To_ zlectri=al work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washinoton. Applicants with such jobs �;.ust show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO Ec D0�'�: <br /> 1m�'�\� � nw� \� �J,GYci��a-\ �Q�v� <br /> ��a�, � �� -��, ��� � �,� �� <br /> _ . � o -�-� ��. -�-�a� v� � �� <br /> � v�c1; ', �� � - �. <br /> , <br /> SZGNED : � DATE �. � �� �J� <br /> NOTES AND COMMENTS: � <br />