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� <br /> � <br /> i <br /> � � <br /> , , <br /> ,�-: rw. <br /> , <br /> CITY OF EVERETT DATE: � f a` � I <br /> ELECTRICAL WIRING PERMIT APf'LICATION FEE: <br /> JOB ADDRESS �O S - �2 /����/ (�t,�,�� �'C>Q/'e � <br /> TENANT <br /> � <br /> PROPERTY OWNER �C� /^+ � � ��w 1 <br /> ELECTRICAL CONTRA TOR �CQ/'�� rG� <br /> ELEC. CONTRACTOR'S MAILING ADDRESS �30� � �� S� /� s E <br /> LICENSE N0. �S30'F E�IRATION DATE (��f' �G <br /> ADMINISTRATCR ,�(J� C�0./'� PHONE N0. ��� •D(��e,�9 <br /> VALUE OF WORK r (do not include taxPa) <br /> (for cortmercia wor <br /> USE OF BUILDING <br /> NOTE: WAC 296-46-140 requires that pla�s for electrical work at 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 permit wi.11 be issued. <br /> WORK TO BE DONE: I <br /> T����,�w7 sH^c,���e ' <br /> � <br /> SIGNED : DATE � �f � � <br /> NOTES AND COM ENTS: <br /> � <br /> i <br /> � <br />