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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JCB ADDRESS <br />TENANT <br />PROFERTY OWNER <br />DATE: <br />FEE <br />ELECTRICAL CONTRACTOR /L :; 1 " I ; ��-pe,LA,z- y <br />LICENSE NO. iii/ifs D EXPIRATION DATE 7i <br />ADMINISTRATOR ��iyrj d �� PHONE NO. �s <br />VALUE OF WORK (do not include taxes) <br />(for commercia work) , <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at e=ucational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-app=oved plans <br />before a City of Everett permit will be issued. <br />WORK TO BE DONE: <br />SIGNED DATE <br />NOTES AND CCMMENTS: <br />6110187 <br />1928H <br />