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CITY OF EVERETT DATE: J'"�Z ^ / d <br /> Ov <br /> ELECTRICAL WIRING PERMIT APFLICATION FEE: '`S :-� <br /> JOB ADDRESS 3 y0/ �'G/(�J fj J <br /> TENANT ___C:�/'� J'3�uT'<�� <br /> PRCPERTY OWNER _��/,�y(J ����� <br /> ELECTRICAL CONTRACTOR �1 �'�j��� ���.�. <br /> ELEC. CONTRACTOR'S MAILING ADDRESS _ ?jD/� /�/QCY��/Z <br /> LICENSE N0. ��'(��/�J�y�rj� EXPIRATION DATE Z - Z8 - � <br /> ADMINISTRATOR /'�/L/f��[- , � /�YPHOt� N0. _ 2 t? - `�� S 7 <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia wor <br /> USE OF BUILDING ��/t <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <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 /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> ,�z'l.�i�r� .�rH��C/ ���� . ��.L«�:� <br /> — — — � KC <br /> 2 - ,C '� <br /> / — �+ifGto // <br /> SIGNED : �',���j�j�- DATE ? - Z Z� 7U <br /> NOTES AND COMMENTS: <br />