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CITY OF EVERETT CATE: Z� S J C' <br />ELECTRICAL WIRING PERMIT AAP�ICATION <br />JOB AUL'RE55 7"� L� /� ��� <br />FEE: <br />TENANT <br />i/• /,� <br />PROPER?Y CWNER VLI•I % �UC_ __ <br />ELECTRICAL CUNTRACTOR /%' L C'� /�I/ /� U.� l//`L/ �. <br />ELEC. CONTRACTOR'S MAILING ADDRE55 Sd�S �/�D�7/�'( <br />LICENSE N0. �f �-(�//tJ�� �i'C/� EkPIRATION DATE Z— Z c� � f� <br />ADMINISTRATCfi %�Ci�/;"% �— �I� J�iUT�PHONE N0. ZS�Z-1 cS�%� <br />VALUE OF WORK (do not include taxes) <br />(for commercia wor <br />USE OF BUILDING _� � �. <br />NOTE: WA� 296-46-140 requires that plar�s for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washinqton. Applicants with such jobs must show the State-approved pians <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />�i�jt-i%l�r z ia d/�'�//� �i��,�� S�iv/%-`� � � H s <br />/,1i°S%¢/��S ff�C <br />SIGNED : ����� // �� DATE � - S ' �Q <br />NOTES AND COMMENTS: _�� <br />