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CITY OF EVERETT DATE: S � /S`' <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS I �f 1 <br />TENAN'i <br />FEE: <br />FROPERTY OWNER ri � C�c'/Jf,'R/1 � �nnlTR��cTo2.S Y�n/'C. <br />ELECTRICAL �ON'fRACTOR au.1/✓r,2 <br />LICENSE N0. <br />EXPIRATION DATE <br />ADMINIS'fRATOR PHONE N0. � S 3- 7�/ 7 Z <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that pians for electrical work at educational, <br />insti*.utional or health care facilities be ap�roved by the State of <br />Washington. Applicants with �uch jobs must show the State-approved plans <br />before a City of Everett pern:it will be issued. <br />WORK TO BE DONE: <br />`TFNvif'. SF-�c.�� i�'_ <br />SIGNED : �l�s��+uy,,,,�_��u,,�( �ATE S'/ 5'� 9 <br />_� <br />NOTES AND COMMENTS: <br />6/10id7 <br />1928H <br />