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CITY � EVERET� <br />EIECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS � Q � � � � <br />IENANT <br />PRCFERTY OWNER <br />ELECTRICAL CONTRACTOR <br />ELEC. CON7RACTOR�S MAILING ADDRE::. Z <br />DATE: __ � -22 ?� Gl <br />--�— <br />F�=, <br />U� � <br />LICENSE N0. �� [�' Z(oI�l EXF_TRP'ION DATE <br />ADMINISTRATCR ( �� j�,lZ� �F.�. PHONE N0. ��—�� (�, <br />VALUE OF WORK �c� ' z3� o� �' <br />(for commercia work (Co not includ"e �axes) <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 reauires that plans for zlectrical work at educational, <br />institutional or health care facilities be approvec by the State of <br />Washington. Applicants with such jobs �;.ust show the State-approvetl plans <br />bePore a City of Everett permit will he issued. <br />WORK TO BE DOPE: <br />SiGNED �iw� Q/� ' /' <br />��CJ �1A / L?-, I =�� DATE � 2Z '�j � <br />NOTES AND CCh�.1ENT5: <br />�� <br />