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ciTv oF �� <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS /G� c9 � �%%(j, <br />iENANT <br />PRGPERTY OWPER <br />� � <br />G � �S� � <br />DATE: <br />Fc�: <br />%r� 7`E 0 ��vo� <br />ELECTRICAL CONTRACTOR �S�i'JZL'/ - <br />ELEC. CONTRACTOR'S MAILING ADDRE:� <br />L3CENSE N0. <br />EXFT_RA.?i0N DATE <br />ADMINISTRATCR PHONE N0. o��t�S.=1C11�L <br />VALUE OF WORK (Co not inclutle taxes) <br />(for commercia work <br />USE GF BUILDING <br />NOTE: WAC 296-46-140 requires that plans Por electrical work at educational, <br />institutional or health care facilities be approveC by the State of <br />Washington. Applicants with such jobs �;.ust show the State-approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BF GO�E: <br />� Cd � T, <br />� ao <br />���-ee� U <br />oaTe i —/S— � <br />r /� <br />