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CITY OF EVERETT DATE: t, ,A1 / S 9c" <br />ELECTRICAL WIRING PERMIT APPLICATION FFE: % Q �- <br />,".CB AOORESS <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR J`L@ I �M • Q <br />LICENSE NO. EXPIRATICN DATE <br />ADMINISTRATOR PHONE NO. 9 (-2 f <br />� t <br />VALUE OF WORK — (do not include taxes) <br />(for commercia worV. <br />USE OF BUILDING <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 B((E DONE: Pr,�., <br />/-VV -Q,1,CcpA a) 4?1 V r, YJCX PCQh f,o <br />G <br />SIGNED : -�Ld P DATE (0 <br />NOTES AND CCMM" S: <br />6110187 " <br />1928H <br />