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CITY � EVERETT <br />ELECTRICAL WIRING PERMIT FIPPLICATION <br />JOB ADDRESS <br />TENANT <br />DATE: a-� W v � �� <br />FEE: y�s `�=� <br />PRCPERTY OWNER C� I L� L L I <br />ELECTRICAL CONTRACTOR %Y� f� T u S� %4 E�E�T �� c—' <br />ELEC. CONTRACTOR'S MAILING ADDRE55 ��.� �?��3�0� LyNNWooA w� 5�03� <br />LICENSE N0. Mr4T'�.iSk i3��K EXPIRATIQN DATE C' ���/9! <br />ADMINISTRATOFt �)'1 A-QI� m A�r-� s��a PHONE N0. �c � a-� S�o S� <br />VALUE OF WORK (do not include taxes) <br />(for commercia wor <br />USE OF BUILDING SING�E �^''`'��L�' ��5rm�'UGE' <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-aporoved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : /'�(/,u./i � i����L��.'r�d' ' D{1TE �� /¢LI (o �� <br />NOTES AND COMMENTS: <br />