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CITY OF EVERETT DATE: <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: &.) - D ct <br />JOB ADDRESS / l /0 /emu c 7 <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR /%% ` �<— /= <br />LT_Ca4SE NO. 122 Y 79C /= EXPIRATION DATE � -d G- 9/ <br />ADMINISTRATOR Or/i/ i%'% �G •H ' PHONE NO. ,4 d y Fy 7 <br />VALUE OF WORK (do not include taxes) <br />(for commercial work <br />USE OF BUILDING < /_ 11Z <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 />WORK TO BE DONE: <br />SIGNED DATE 3 -e:�3 —42 <br />NOTES AND COMMENTS: <br />6110187 <br />192EH <br />