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CITY OF EVERETT DATE: E?� �,� ,� ' b��J <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS � �% 7 �i vi � <br />TENANT <br />� <br />PROPERTY OWNER h�! 7 C J/�+�, , 7. t�• <br />// i <br />ELECTRICAL CONTRACTOR / L- 7//��� r� � <br />FEE: <br />ELEC. CONTRACTOR'S MAILING ADDRESS �� �' �� ��� �i <br />LICENSE N0. �C���SG��/ �-3 �2�(i EXFIRATION DATE �L �� �U <br />ADMINISTRATCR d� I. v/h�%� � PHONE N0. -311'J " Z•3SI <br />VALUE OF WORK (do not include =axes) <br />(ror commercia wor <br />USE OF BUI! DING ��S <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 />Washinqton. Applicants 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 />SIGN=D : J�/`�✓��_ ! '� �/�L�r�G2"" OATE �� J % - � % <br />NOTES AND COMMENTS: <br />