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i( G <br /> CITY Or cJF�,ETT !-'aT�: / } / —_— <br /> ��'~+1 ELECTRICAL WIRING PERMIT AFPLICATiON FEE: _______ <br /> >�-? <br /> ,o�,.-. <br /> 9 H rn C <br /> y �� �GB ADDRESS /D � Z ! � y � <br /> � H.��, TENANT <br /> � �'t�'., FFCPERTY OWNER �r4�t �i�( � �{� � U� I '' �L� S U� — <br /> � y d ELECTRICAL CONTRACTOR __ ,��l� <br /> � �o ELEC. CUNTRACTUk'S MAILING ADDRESS z �'O� /1� K� S'T �r�«c`l g��z� � <br /> c�� � <br /> ri <br /> a � L�CENSE N0. EXPIRA?I�N DATE I <br /> g �'� PCMINISTRATCR PHONE N0. � <br /> H <br /> c� t7�n c� o� <br /> V:LUE GF WGRK T S O � (do not include taxes) <br /> � �� (tor corrcnercial wor <br /> zyw , <br /> � �� USE OF BUILDIN� � (J(� /Gl( �� f�� � � <br /> I � <br /> NOTE: WAC 296-46-140 requires khat plans for electrical work at educatienal, � <br /> — in;titutional or health care facilities be apprcved by the Stzte of i <br /> Washinqton. Applicants with such jebs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> (� � <br /> �� WORK TO EE DONE: <br /> � :s' I l � ���//'t� /`+ Cw ` y�—� <br /> � .� <br /> ,_ ,� <br /> C :) <br /> �"� SIGNED : �.� ( �l� DATE �/ / I �� <br /> � � <br /> vOTES PD!D CCNM�ENTS: <br />