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CITY OF EVERETT DATE: �) <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />LICENSE NO. /L' (' (oy7 ,�:C /,:l:- EXPIRATION DATE <br />AOMINISTRATI,'R PHONE NO. Z.S <br />VALUE OF WORK (do not include taxes) <br />(for commerciaTwork <br />USE OF BUILDING =SF& <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 DONE: <br />SIGNED DATE <br />NOTES AND COMMENTS: <br />6110187 <br />1928H <br />