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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />DATE: �- S�- ,� �/ <br />FEE: I � 7� <br />JOB ADDRESS 3C/ 3!� ��(�T�� <br />TENANT � � � �� �,r��� V,�/ <br />PROPERTY OWNER ,5i9J��� <br />ELECTRICAL CONTRACTOR _ �.i � (= / eC 7�"/G <br />/� /� � <br />ELEC. CONTRACTOR' S MAILING ADDRESS l cjQ 0,SJ r`�.s i�(' G%/' /U� /S�/G��n� � p�.l <br />LICENSE N0. 0��7 � 26� yy,. � EXPIRATION DATE �/y <br />ADMINISTRATOR �10UC� Se-hnr�rG-i� PHONE N0. _�,S-7 ��jc�// � <br />VALUE OF WORK_ �,q�p (do not include taxes) <br />(for commercial�kT <br />USE OF BUILDING � UNi-� ��-�-. <br />NOTE: WAC 296-46-140 requires that pla�s 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 />SIGNED : ��LG .� �/ ,�,�•,{��� DATE �'�-�5 <br />NOTES AND COMMENTS: <br />