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� <br />CITY OF EVERETT <br />ELECTRICAI WIRING PERMIT APPLICATION <br />J06 ADDRESS <br />TENANT <br />PROPERTY GWNER <br />� <br />DATE: �- �� � <br />FEE: <br />_ _ \� L! /'I .CJ � , /C f'�7`PIOUJl � , <br />ELECTRICAL CONTRACTOR <br />ELEC. CONTRACTOR'S MAILING ADDRESS �,3 �,o,l�� �d� /(l <br />LTCENSE N0. %,QoUBC �` /��r,�r� EXI'IRATIGN DATE _ fp -,3p_ 8� <br />ADMINISTRATOR _�� ��y.�,no � PHONE N0. ��� - a� 9 <br />r <br />VALUE OF WORK��pp (do rot include taxes) <br />(for commercia wor <br />USE OF BUILDING ,c�es�e�duti7L <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the St�te of <br />Washington. Applicants with such jobs must show tl�e State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />: fS �' Ld i <br />SIGNED : if`/lzs� ���,,�. DATE � �/- � <br />NDTES AND COMMENTS: <br />n <br />