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/�� <br />CITY OF EVERETT <br />ELECTRICAL WIRI�iG PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />S.F <br />DATE: CS— �Z—a '/ <br />�� <br />FEE: <br />w� a« � <br />• <br />r <br />� 'I� � 7� ' <br />�- <br />ELECTRICAL CONTRACTGR <br />��.� p d�+,t�'e <br />ELEC. CONTRACTOR'S MAILING ADDP,ESS $]p �(Q�v.R P,'b� JC/)t /�(� � 13��%�" �ig�t� <br />LICENSE N0. Ef�L�1���TI6�K�' EXPIRATION DATE rl-�-�_ <br />ADMINISTRATCR �oM,, �' �„��,I PHO� N0. g' � a,- �� ( Z <br />VALUE OF WORK �� 0 G (do not include taxes) <br />(for commercia wor <br />„ . , .. _ fi 0 n r1 „ • <br />USE OF BUILDING <br />NOTE: WAC 296-46-�40 requires that plans for electrical work al educational, <br />institutional or health care Pacilities 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 8E UONE: <br />�� d.Q�..,.� -� .U,.n�— � �� <br />SIGNED : 1� J� �1/Z.�+�%w'v'�/ DATE �- 2 Z'��' <br />NOTES AND COMMENTS: <br />