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c <br />CITY OF EVERETT <br />ELECTRICAL WIRING PFAMIT APPLICATION <br />DATE: <br />FEE: <br />JO° ADDRESS (� U —1 S & v g 2 G— F' LL `Np `ate <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR M o <br />LICENSE NO. LEaj 6.2 S G ?--I I C3 - EXPIRATION DATE -7 - < <— 8a <br />ADMINISTRATOR w .. - 3 - K L. L N4C PHONE NO. (, mot— 'i *A-q]S <br />VALUE OF WORK 3 va `'- (do not include taxes) <br />(for commercia work <br />USE OF BUILDING r 2� <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 BE DONE: <br />M J 7'?— LL I JI F_ iLT'L T'l C)il Y4 /ALL s I L,l <br />I c� A�rw - LI 2 c w <br />SIGNED �a-v SZ DATE <br />NOTES AND COMMENTS: <br />