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CITY OF EVERETi 1 DA7E: �i7^- I c�� � <br /> )� Cw <br /> �1.EC7RICAL WIRING PERMIT MPLICATION �E� _�.L_ — <br /> J08 ADDRE55 l0 �O lv 3(�O (JV � 5� • <br /> TENANT <br /> FftOPERTY OWNER �AJ l� TH O MP SO� <br /> ELECIRICAL CONIRACTOR �� S5 M`�� L=�--����� �' <br /> LICENSE N0. Kl SS�`n1=11`I�1 Cl_ E;cPIRAT20N DATE �o '�0 -� I <br /> ADMINISiRATOR �� M �ISSm� FHO�E N0. ���"5�Z'� <br /> VALUE UF WORK �� �- (do not include taxes) <br /> (for commercia work) <br /> USE OF BUILDING 1�S �•, i ti-� <br /> tJOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or I�ealth care facilities be app:oved by the State cf <br /> Washington. Applicznts with such ,;obs must show the State-approved pl3ns <br /> before a Ci,ty or E•rerett pernit will be issued. <br /> WORK TO BE DONE: <br /> �t�J$J`Tl` �i�C- Wtf���� �� �iSL . l,(�`f.D SCt'��`� `r'la�z-lC� (�(�.0 <br /> � <br /> V C� �� rzt, - (L n � `t_ S� c��11 �-: . <br /> U <br /> � .----- ' oarE �- I 3 -_� � <br /> SIGNED : ��� <br /> IdOTES AND CCMMENTS: <br /> J `)) <br /> �� t��t��� �- I � <br /> �Ji 1Q�8% <br /> 1:_��`; <br />