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CITY OF EVERETT <br />0.ECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS _ <br />TENANT _ <br />PROPERTY OWNER / <br />ELECTRICAL CONTRACTCR <br />oaTE: �' Z Z- f� `7 <br />� ! I l0 vl�WG� <br />, �e �.�, a ,..� <br />l�/f/ l�i S i y✓ ; <br />G <br />FEE: <br />ELEC. CONTRACTOR'S MAILING ADDRESS d;(�J/' ;$ ,y/ ���C <br />LICENSE N0. /L� J"� /I__ L�J /L� E�IRATION DATE �Z ,�O �O <br />ADMINISTRATOR vy T�LI�—�...� PHOhE N0. �-3 j� z v' �J � <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 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 show the State-approved plans <br />before a City of Everett permit will be issued. <br />SIGNED : <br />NOTES AND COMMENTS: <br />DATE <br />