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.+.1s>4 � <br />CITY aF EVERETT DA'E: � 6 /�� <br />ELECIRIC.'1L WIRING PE�iMIT APPLICATION FE'c: ,��� . UU <br />.:C3 ACCRFSS _�SO � L!/E7`.�f.(O!�'E �� <br />rNRNT <br />PR�PE�TY OWNR �� � �0��� <br />EL�CTRICAL CON7RACTOR ��� C� ECT.L� G <br />L_TC�NSc v0. LL-LCGEi�,�/3B� E:<F�RATiC� DATc �a/,3//�C� <br />ACMINIS�ATCR � �/�'C�i✓ F�GNE N0. �YS .330g <br />VALUE OF WORK (ao not include taxes) <br />(for ccmmercial worxl <br />USE OF BUILDING <br />N�TE: WAC 296-46-140 reauir=s that plans for electrical work at eCucational,� <br />institutional or health care faczlities be aoproved by the State of <br />Washirgton. Acplicants with such jcbs must show the State-aoproved plans <br />b=rore a City of Everett pe^nit will be issued. <br />WCRK TO BE DONE: <br />���J�,� S � �' <br />SIGJED <br />NOTcS APD CC'�ME`lTS: <br />5i'ni?� <br />� ;`au <br />aC� /11 ��L� _ <br />