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.-:; ,,..., <br /> CITY OF EVERETT DATE: 9//�f 9/ <br /> ELECTRICAL WIRING PERMIT APPLTCATION � � FEE: ��G 9'�d / <br /> .JOB ADORESS _ ZlgU' ) �o �.,. �a rc� <br /> TE:NANT �j �U rJ Z ccrs cs� /f s-i+.s r�c.c. <br /> FROPERTY OWNER S Q ,�, , <br /> ELECTRICAL CONTi�ACTOR '�jf�,, ,Z�� �'/��-c �m,�-� �i� �, <br /> j LICu�Sc N0. UN i T i= r c� /'!G M G EXPIRATION OATE ( � .�i/ 9Z <br /> . � — <br /> ADMINISTRAT�R �citOQr �6r,,,,,«,�. FHONE N0. ��L 73' /! <br /> VALUE OF WORK �l/, 2�y O —" (do not include taxes) <br /> (for commercia-1. wor � <br /> USE OF BUILDING o Z'�1-ic c. <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or heaith c2re facilities be approved by the State of <br /> Washington. Apalicants with such jobs must show the State-2pproved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DQNE: <br /> /�G w yC"� /��l'v!c e� •�'— ,• <br /> Na..�. �2 a-o � so l�c. �ce�.Q Z �a � � I s <br /> �-- ^ -- <br /> —,�s, � < , r.���T /,. „ , 9_ '�-� F/m o r- <br /> • SIG�IED :C.�(�Q,/ C�/ DATE �-��,i <br /> MOTES Arro cer���tENTS: <br /> 6/1.U/E�7 <br /> 192EH <br /> � <br />