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� � <br /> CITY OF EYERETT DATE: _ ��ZS���, <br /> � <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS � yU� 4, /p�Ec�„ (/l,�,.y <br /> TENANT �� ,,,2 � ��� <br /> PROPERTY OWNER C�,�,r,,.� <br /> ELECTRICAL CONTRACTOR ,$(��p <br /> ELEC. CONTRACTOR'S MAILING ADDRESS L�S12-g��/ �j ��-�,�( S L/ <br /> LICENSE N0. EXPIRATION DATE <br /> ADMINISTRATf]R _ p�.p� Np, '�'�s�'�l�I <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia wor — <br /> USE OF BUILDING s������ <br /> NOTE: WAC 296-46-140 requires that pl.ans for electrical work at educatio�al, <br /> institutional or health care facilities be aaproved by the State of <br /> Washington. Applicants with such ,jobs must show the State-approved plans <br /> bePore s City of Everett permit will be issued. <br /> WORK TO 8E DONE: <br /> TPil�+-/l7rYTi7-v �,/� /l.�.P � DC � �'Lr (�!e C�(yrefoL t <br /> -�-•r�-a�.�i`'G7� <br /> < <br /> SIGNED : �Z6�! ,l�nyQa.,,,� _ DATE �/L5/�— <br /> ---r—�•- <br /> NOTES AND COMMENTS: <br />