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� <br />� <br />CITY OF EVERETT DATE: ��- % -��� <br />. , <br />ELECTRICAL WIRING PEfiMIT APPLICATION F�_; <br />JOB ADDRESS ���7 O�j`�d/�SaA� <br />TENANT ,�/P/,? y ,�/�/,�J <br />PROPERTY OWNER (J/(/� <br />ELECTRICAL CONTRACTOR /�-/UQ�jf � ��%j�j� <br />E� EC. CONTRACTOR'S MAILING AD�RE:.; ���„�/ �3G�/�� Li�it/�fJ�dz^jfj <br />LICENSE N0. {�U��G'�'��� EXF_TRP.TiON DATE /�9v <br />ADMINISTRATCR �� j'�.;��¢.yp yQ PHONE N0. �J�f��'%Q <br />VALUE OF WORK (do not include taxes) <br />(for commerciT work <br />US'c OF BUILDING %�,�,5 <br />NOTE: WAC 296-46-140 reauires that plans Po= 2lectrical work at educational, <br />institutional or health care facilit'_es be approved by the State of <br />Washington. Appiicznts with such johs �;.ust show the State-approved plans <br />before a City or' Everett pe*mi� will be i=_sued. <br />I40RK TO 5E D0�'E: <br />� <br />SIGNED : ,e����� DATE /f,�� <br />N�TES AND COMMENTS: <br />__.:.-._...��+�+itiuwuea»:etovr�«.w,.Mw....n..:,.....,.�.�.....,.........��.....�...e...,..�.,u=..-. . <br />