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czTv cF ��r <br />�, <br />oar: 9 c /8 S <br />— � , <br />ELECTRICAL WIRING PERMIT APPLICATION p`_: <br />JOB AOCRESS Zc�Q �,�� �,� c` <br />TENANT <br />FROPE? � Y OW�ER _� �� G,TQ,e <br />ELECTRICAL CGNTRACTOR ��I,� ` �„�.{._ <br />ELEC. CONTRACTGR'S MAILING ADDRE_3 _._ ��3v y8r'� �� �FKErf, <br />LiCENSE N0. <br />ADMINISTRATCR <br />��$� // t� D t7 EXFIRA-iON DATE _ .�'j I 4 9 I <br />��er'� -i�(asTa PHONE N0. �?�/ ��3�/ <br />VALUE OF ',YURK �P�n� (Co not �ncluae taxesj <br />(for commercia work � <br />US"c ;F BUILDING ��� <br />_ <br />NOTE: YlAC 296-45-140 reauires th�t plans i0_ 2lectrical work at education2l, <br />institutional or health care facilitizs he approved by the State of <br />Washington. Applicants with such jobs �;.ust show the State-approved plans <br />before 2 City of Everett permit will be issued. <br />WORK TO EE DONE: <br />�u ��� �._ <br />NOTcS AND COMAIENTS: <br />OATE nj�`T� 4 <br />� <br />