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� - <br /> CITY OF EVERETT DATE: _�p� 11 � / g (J / <br /> cf/ <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: �jS <br /> � JOB AGDRE55 ___f L� � � �G,/J�� S f, <br /> i TENANT <br /> � �cP�rv owr�R _�Cl/'U/C� /�U. Pc.��P/� _ <br /> � <br /> I / ELECTRICAL CONTRACTOR /T���� <br />� ELEC. CONTRACTOR'S MAILING ADDRESS _ ���� <br /> . <br /> LICENSE N0. E�IRATION DATE <br /> ADMINISTRATOFt _PHONE N0. �Z S / � 7/� Z. <br /> VALUE OF WORK (au not include taxes) <br /> (for cortmercia wor <br /> , USE OF BUILDING � / dIG�C� ��f/YJ�/�/ <br />� NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />' i�stitutional or health care facilities be approved by the State of <br /> Washington. Applicants with such jobs must show the State-approved plans <br /> I before a City of Everett permit will be issued. <br /> I <br /> WORK TO BE DONE: <br /> � C � P r �J�'9/YI . {�JS �' l c� 7�0 '�J� � , � <br /> C',�C�v� � ����r:D���e� <br /> , <br /> i <br />� <br /> SIGNED : � DATE ,.�-�j"-J"� <br /> NOTES AND COMMETJTS: <br /> � <br />