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i <br />CITY OF EVERETf <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />r�- <br />DATE: <br />FEE: �J OCR <br />TENANT <br />PROPERTY OWNER 'l 1 1?T/t �41 /7 m� <br />ELECTRICAL CONTRACTOR <br />L:ZZNSE NO. <br />ACMINISTRATCR <br />EXPLRATICN DATE <br />PHONE NO. <br />VALUE OF WORK (do not include taxes) <br />(for commercia wprK) <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 recuires thatplans -for electrical work atthe uctateal, ' <br />institutional or health car_a facilitiesbe approved by <br />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 />(LJ DATA <br />SIGNED <br />NOTES AND CCVYEITS: <br />6/10/37 <br />1'?2?H <br />