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��a� <br />�7 y <br />YH�TC~a <br />H>� <br />�z� <br />H 7J <br />� H K] <br />y y t' <br />[`� O �i <br />H C7 <br />�/��g <br />y� V � <br />zy� <br />� x <br />i-+ H <br />N <br />C] C❑ y <br />� �' � <br />H O Vi <br />�e '1 <br />�an m, <br />!4i <br />i ��, <br />;�: <br />CITY OF EVERETT <br />ELECTRICAL WIRZNG PERMIT APPLICATION <br />DATE: <br />6 <br />FEE• _'��_ <br />, <br />JOB ADDRESS � •' �, � � ' � � ' ' �' <br />i. \ . /. <br />TENANT �/-, � • ,- � i , , <br />�. � � <br />PROPERTY OWt�ER `' - � , � �,, � — ` , . ' , , <br />, ,� <br />ELECTRICAL CONTRACTOR � ' _,' . <br />ELEC. CONTRACTOR'S MAILING ADDRE55 — <br />LICENSE N0. EXPIRATION DATE <br />ADMINISTRAT�2 PHONE N0. �S�' 6�7C� <br />VALUE CF WORK � (do not include taxes) <br />(for commercia work <br />USE OF BUILDING �. � . ' % i�'? -' <br />� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educationai, <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 />hefore a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />� ` � SIGNED : \. �! - �_ .�,✓_ �• , � DATE : n� <br />� NOTES AND COMMENTS: <br />i <br />F' <br />