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.�rp �*' <br /> CITY OF EVERETT DATE: � - 3 �' - �� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRE55 3 0 2 0 �v c K F fz c��i i� '3 E>> �. �S o� <br /> TENANT f� R ,LLG01Z� CTA[ <br /> PRCPERTY OWNER �37zc��C� L o _ <br /> ELECTRICAL CONTRACTOR EX�'� _ �E�TRI c��" SLcRV/C'K� <br /> ELEC. CONTRACTOR'S MFILING ADDRESS / 2 ?6 - /?8 SE Bafli6!/ �Eh/ 2_ <br /> �` LICENSE N0. CyCE� SJ / 2 ?�1/ EXPIRATION DATE 2-�j0 <br /> ��' ADMINISTRATOR J� P�� No. '742-�.5�l 7 <br /> F' ' <br /> �: VALI�E OF WORK 2600_ oo (do not include taxes) <br /> �«, (for commercia wor <br /> �`.' � USE OF BUILDING /�'tiic E � Cca�s�F'R��I1 C <br /> f : <br /> �:� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> `, institutional or health care facilities be approvF� by the State of <br /> ' Washington. Applicants with such jobs must show the State-approved plans <br /> 's before a City of Everett permit will be issued. <br /> k'- <br /> ,: <br /> �.�s; WORK TO BE DONE: <br /> '7�N F�fT / /N d'f�o V r M�E.JT <br /> ,,: <br /> r,- <br /> i _ <br /> r5 <br /> � <br /> i <br /> i.' <br /> )'i <br /> SIGNED : �� ��,c,5•l�-t DATE � - � v ��I <br /> NOTES AND COMMENTS: <br /> ;+„- <br /> �� <br /> 'P_3 <br /> �r <br /> �!; . <br />