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� <br />�4 <br />CITY � EVERETT DATE: _� - .i ?, -•`� � <br />ELECTRICAL WIRIF:G PERMIT APPLICATiON FEE: ,�S' <br />JOB ADDRESS yg� Q �e� �I I C.�J ��*= <br />TENANT �I (_�!� � C-N ..� ti <br />PROPERTY OWNER SP M� <br />ELECTRICAL CONTRACTOR _ Sr��t� <br />ELEC. CONTRACTOR'S MAILING ADDRESS <br />LICENSE N0. <br />ADMINISTRATCR <br />`.;F' �'�E. <br />EXPIk.ITION DATE <br />PHOf� N0. ',� S'� - J 09 7 _ <br />VALUE OF WORK (do not include taxes) <br />(for commercia wor <br />USE OF BUILDING I I�1InGr `����C <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the Sts�e of <br />Washington. llpplicants 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 />jn�•TY��( �ii��c ��26 Uoci i5 /��»I�� cl�cc,eC15 /-��( <br />N�i�7p�' -� G iC,i1(5 1 (1J(1[C �Ct1.C, S <br />SIGNED : <br />AND <br />� <br />DNTE �? • : � - �� <br />