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r-, ,-� <br /> � <br /> CITY OF EVERETT DATE: }�2S/�`j <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRE55 � yvr � ���py_ ��/? <br /> TENANi' D� ut, �LI P..(�C�� — <br /> —��_ <br /> PRu ERTY OWNER SC,y,�e <br /> ELECTRICAL COMR,4CTOR SG�.� <br /> ELEC. CONTRACTOR'S MAILING ADDRESS 2/�j/ �- 5'jh �l /�j ; ���✓� c��f)� <br /> � <br /> LICENSE N0. E�IRATION DATE <br /> ADMINISTRATOR PHONE N0. <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia wor <br /> USE OF BUILDING � �Y�6� �,.;� �� L�e�, <br /> v <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Appiicants with such ,jobs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> W 1 r �2 5�67ts� Ln-•-• �� �G�ss� (.3 � ' '1 <br /> zUl� C.•.'.,ti-� .r' `�-r1/JGQ- <br /> 0 <br /> SIGNED : �� - ��,Q DATE �/�/� <br /> NOTES AND COMMENTS: <br />