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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRF <br />DATE: jc' �� / <br />L� pU <br />LICENSE NO. /� l9/ EXPIRATICN DA i � <br />ADMINISinATOR /l Ury � PHONE NO. 9,3,0 a3� <br />VALUE OF WORK GfQ UU (do not include taxes) <br />(for commercial worx) <br />USE OF BUILDING ✓V1 <br />NOTE: WAC 296-46-140 requires that <br />plans for electrical <br />work at educaticnal,: <br />j��•� <br />institutional <br />or health care <br />facilities be <br />acproved by the State of <br />� C:J` <br />Washington. <br />Acolicants with such jccs must show <br />the <br />State -approved plans <br />before a City <br />of Everett pe^nit <br />will be issued. <br />1 <br />WORK TO BE DONE: <br />l-�t ems, <br />SIGNED Z�_ <br />NOTE X 0-C1.iME`IT3: <br />6/10/37 <br />1?�9H <br />DATE %G' / 7 �� <br />