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� � <br /> CITY OF EVERETT DATE: � ,� <br /> / <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS �1�� �" � �svi /J C� h � — <br /> TENA�T <br /> PR�ERTY OWNER �O�/7 �jr� <br /> ELECTRICAL CONTRACTOR ,J� �F /' /�e c�/ G <br /> ELEC. CONTRACTOR'S MAILING ADDRE55 �ISO� aC� ST � ,�// S�L'pr1 ,S <br /> LICENSE N0. f}���F I.J 4� G EXPIRATION DATE / � <br /> ADMINISTRAT(?R �qh � %G //?7� �"" PHONE N0. ���� //J'��✓ <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia wor <br /> r <br /> USE OF BUILDING S i � i / �"e `S' <br /> � / <br /> NOTE: WAC 296-46-140 requires ihat plans for electrical work at educational, <br /> institutional or health care faciiities 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 8E DONE: <br /> /1� �r/ S.a r ✓i c,� o2Do -r'i��-✓ /h�ir_-" l�ewr�-e _ <br /> -, , <br /> SIGNED : DATE <br /> NOTES AND COMMENTS: <br />