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rw, <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />� <br />DATE: � a S /S�J <br />FEE: <br />.� <br />ELECTRICAL CONTRACTOR / ��� �p�� �� <br />ELEC. CONTRACTOR'S MAILING ADDRESS 5/3 �/�-7/f�� ��y�L �� 9�� <br />LICENSE N0. E�IRAiION DATE <br />NDMINISTRATOR <br />PNONE N0. �.SZ. h 26C� <br />��'� � w� (do not include taxes) <br />(for cortmerciTwor <br />USE Gr BUILDING <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. Applicants with such jobs must sl�ow the State-approved plans <br />6efore a City of Everett permit will be issued. <br />WORK TO 8E DONE: <br />SIGNED : <br />NOTES AND <br />.A-l��cr-��ff �.—d /� r i c F m 7cs�2 — <br />DATE ���,F'� <br />�—_��--- <br />