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�-- <br />CITY OF EVERETT DATF: �� % �`7 <br />ELECTRICAL WIRIN� PERMIT APPLICATION <br />Ftc: <br />JOB ADDRESS / % �sn� ,S� F/i�ic.�/ ��/� <br />TcNANT rl//e/u�, �- 5'�,��, <br />PROPERTY OWPER �i /f.�/---� <br />ELECTRICAL CONTRACTOR _�/J �CL Cy-�L/C <br />ELEC. CONTRACTOR'S MAILING ADDRE:� �GJ/JQ� ����2 ✓1�� /�/L����j,� <br />LICENSE N0, n�%f�L.F�,(„y /7i�'J EXFT_R?.-ION DATE ��� <br />ADMINISTRATCR ����Jnei���_ PHONE N0. � S'�— G/S// �j <br />VALUE OF WORK �DU � (Co not include t�xes) <br />(for commercia w rk <br />USc QF BUILC',ING QpT��,G — <br />NOTE: WAC 296-46-140 reauires that plans Tor zlectrical work at educational, <br />insti.tutional or health care facilities be approved by the State of <br />Washington. Applicants with such johs �:.ust show the State-approved plans <br />befo;-e a City oP Everett permit will be =ssued. <br />R'ORK TO BE DONE: <br />SIGNED : „'� e �.�t��, DATE �" %- ��7 <br />NOTES AND COMMENTI�: <br />���F^5\"A��t: .. � . . �. � . .... <br />