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1 <br />czTv oF �Err oa�: �„�..� -,� %' I%�S'9 <br />EIECTRIG1L WIRING PERMIT APFLICATION �E: ��` Cn <br />JOB AOORESS ��OI�� `�I �i lr Il/F,/ !7l � �(/ � 1 !f-F <br />TE�VANT <br />FROP�TY OWNF� �l-r� o i �✓i,� . �Ci�� , . /_ ,. , � %I ., .. � ,-P-, , .-�.. � . <br />F1EC'tRICAL CONTRACTOR <br />LTCENSc N0. <br />E:(P?RATIGN DAl'E <br />AC�NINISTriATOR � Q � �j;�� ' PF'ONE N0. %,3y-acr3c� <br />VALUE OF ',YCRK '� (do not include taxes) <br />(Por comme;cia workl <br />USE OF BUILDING <br />; NOTE: WAC 296-46-140 reGuires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of � <br />Washington. Applicants with such joCs must show the State-�proved plans <br />bePore a City of Everett pe:nit will be issued. <br />WGRK TO BE DONE: <br />SIGtIED : �;%�,/ �L! ( ` r��l�! K1 LJ OATE � - / -� �1 <br />MOTES A�'p CC�4ME�ITS: <br />5/��/3i <br />1': 2'_li <br />