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� <br />CIT.Y OF EVERETT <br />EIECTRICAL WIRING PERMIT APPLiCATION <br />JOB ADDRESS <br />TENANT <br />� <br />DATE: � .� r �� %`% h" c/ <br />� � FEE: <br />PROPERTY OWPER ��� S /� S JT -p <br />ELECTRICAL CONTRP.CTOR � y� �,��e c i/� i � <br />ELEC. CONTRACTOR�S MAILING ADDRESS %/,j�_"j ,�� S'%—/�/� �f` �U,�s- <br />LrCENSE N0, f�,�F_ .1. F_ IJ�D �. C- EXPIRATION DATE /� 31��-rj <br />ADMINISTRATCR � � � / p�iy� � y- PHONE N0. _ .3.3 �j{ -�/ ��% <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />n <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care iacilities be approved by the State of <br />W'ashington. Applicanis with such jobs must show the State-approved plars <br />before a City of Everett permit will be issued. <br />WORK TO BE D01�: <br />DATE �' / c�E- <br />