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i <br /> , ,.... <br /> �IN OF EVERE7T DAT�: V�'�O t �y �9�� <br /> ' ELE�TRICAL MIRING PERMIT APPLICATION F�. <br /> JOB ADCRE55 �//Z /(faiCker fl ve,�,ti� I <br /> tEru+raT �ick ��ia/�� <br /> PROPErtTY OWrER �Pic,E Z�/a/�Ea <br /> ELECTRICAL CONTRACTOR <br /> ELEC. CONTRACTOR'S MAILING ADDRESc <br /> LiCENSE NQ. EXF_RP.?i0N DATE <br /> ADMINISTRATCR p�N� �. <br /> VALUE OF WORK (Co not inclutle taxes) <br /> (for commercia work <br /> LSE CF BUILDING _ /PPSicl�<n7T�� <br /> NOTE: WAC 296-a6-140 reauires that plans fo: electrical work at educational, <br /> institutional or health care facilities be approveC by the State of <br /> Washinaton. Applicants with such jobs �:.ust show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE D01�: <br /> _�pP�Q C L' ��0 7�n1,0 rJi[...fei y�nn G� L✓ f� ',OYI a'�inA aF+u�C/ <br /> — — b iAm,r e Da n i� ��� - <br /> SiGNED : i�;CG� � c't DATE �'/`/-8� <br /> NOTES AND COMMENTS: <br />