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CITY OF EVFRETT <br />ELECif2ICAL WIRING PERMIT APPLICAT'ION <br />JOB Aa7RE5S <br />TENANT <br />RtOF�TY QWNR <br />ELECifiICAL CON7RF <br />LIC�15E N0. <br />AOMINIS'TRATOR <br />DATE• � �j /Y 7 <br />FEE• � �j �� <br />I /, � � �� <br />.. <br />.r ..i, , ic�I i'/ ' ' � i � �� i <br />VALUE OF WORK (do not include taxes) <br />(for ccrtmer:ia work <br />USE OF BUJLDING <br />�pTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or he2lth care facilities be approved by the State of <br />Washington. Applica�ts with such jobs must show the State-appro�ed plans <br />befere a City of Everett permit will be issued. <br />WORI! TO BE DONE: <br />SIGNED : / �1�+ � � ~ DATE 3�3�/� <br />�TES APD MMENTS: <br />6/10/b' <br />1°22H <br />