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CITY C:F EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />-Z 1 2'2 \Ao <br />DATE: «-sE:5 <br />T <br />FEE. <br />ELECTRICAL CONTRACTORr <br />LICENSE NO. ��n �\L� l� C_l� EXPIRATION DATE <br />ACMINISiRATCR �c�LypC�'� Z PHONE NO. -NV�_;- S t <br />VALUE OF WORK (� _» -S (do not include taxes) <br />(for commercial work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work �.t educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State -approved plans <br />before a City of Everett pe7.,it will be issued. <br />WORK TO BE DONE: <br />At fi ? n 4 <br />SIGNED C� DATE <br />NOTES AND COMMENTS: <br />6110187 <br />1926H <br />