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H !b <br />CITY CF EVEnEii <br />DATE: <br />b <br />c � <br />y t <br />ELECTRICAL WIRING PE-rMIT APFLICATICN <br />F= _ <br />y�r <br />K n <br />3 <br />O C 0 <br />z <br />-08 ADDRESS <br />m <br />M Q <br />y <br />°z n <br />TENANT <br />o <br />M 1 O <br />z r, 0 <br />PRCPERTY OWNER _ /i �'•; ...r„ . <br />� y z <br />y <br />ELECTRICAL CONTRACTOR <br />N <br />--_ <br />C N <br />ELEC. CONTRACTOR'S MAILING ACCRES: <br />y d N <br />LICENSE NO. <br />EXPIRATION DATE <br />ACMINI?TRATOR <br />PHONE NO. Z f <br />VALUE OF WORK <br />(Cc not incluce taxes) <br />(for commercial work) <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 recuires that plans for electrical work at educational, <br />institutional or health care facilities be approvec by the State of <br />Washington. Applicants with such jcbs oust show the State -approved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />INK <br />1 � <br />i <br />1 /%f <br />� s <br />� <br />Q <br />Q <br />SIGNED DATE <br />NOTES AND COMMENTS: <br />