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CITY OF EVERETT DATE: �Q _ /�-- �� <br /> ElECTRICAL WIRING PERMIT APPLICATIUN FEE: �O -� <br /> JOB ADDPESS �� Z-� ���f�//�S'T <br /> TENANT <br /> FR�ERTY OWNER ,STif� �a.�STifC�cTiai� <br /> ELECTRICAL CO�JTRACTOR _ � ���/,(fT// .E�,�C- <br /> ELEC. CONTRACTOR'S MAILING ADDRE55 3C1/S /�jP��t/�/� <br /> LICENSE N0. � �G/iC.J�!/ 7f��� E�IRATION DATE 2- Z K - FT/� <br /> ADMINISTRATtJt �j�/(_/jy},� � ijG �/NT�/ PHO�vE Np. _ �(�z_ f/�l rj7 <br /> VALI� OF WORK (do not include taxes) <br /> (for comnercia �+or <br /> USE OF BUILDING ,�?U/.r��,!" - � /i�/�C( / I <br /> NOTE: WAC 296-46-140 requires that plans 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 /> /,vi /liE��P'c,�.Y <br /> ,EC�C _ /�.f�� <br /> _ Z-- /U U A�f/� /�r3.t/iE C, -f <br /> SIGNED : � - DATE ��/f -/f-c�Jr' <br /> NOTES AND COMMENTS: <br />