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� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PRCPERTY OWNER <br />� S� <br />� <br />DATE: J�F7z' n�_� /. I I� pI <br />.�' F�• 35� <br />r� .. <br />ELECTRICAL CONTRACTOR ,�,� �� <br />ELEC. CONTRACTOR'S MAILING ADDRESS <br />LICENSE N0. <br />� <br />EkPSRATION DATE <br />PhP Z� <br />ADMINISTRATOR PHONE N0. %�G S1f ,� � <br />VALUE OF WORK �� (do not include taxes) <br />(for commercial wor <br />USE OF BUILDING '/S , c a <br />NOTE: W.4C 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 OONE: <br />/'2 <br />SIGNED : `�/ _ , /�� �_�c-1:,� _ DATE .i / /' � <br />NOTES AND COMM TS: � '� � <br />