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,-� p"1, <br /> CITY OF EVERETT DATE: �/�j L� —�cJ <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADORESS �'Q���� {Z�, d i ,q � ,�rj� <br /> TENANT <br /> PROPERTY OWNER �.4�Lc�.l (�-CGI.I T� <br /> �T.` ELECTRICAL CONTRACTOR �o �/ � <br /> �'1'� ELEC. CONTRACTOR'S MAILING ADDRESS � /`1�n ; /P �� <br /> ' LICENSE N0. _f D A E�IRATION DATE � <br /> '}. i �+4-!� ,��. �.3 � � l� <br /> ADMINISTRATOR ��;�� }���*�Q Pl�NE N0. ��j�/— 72 y� <br /> ' VALUE OF WORK (do not include taxes) <br /> (for commercia wor <br /> USE OF BUILDING �P c <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 D0� <br /> �� �� <br /> J <br /> SIGNED : ..��7'��i DATE (��f%�i LfF� � C <br /> i,v <br /> NOTES AND COMMENTS: <br />