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� <br />crrr a� Ev�t-rr <br />ElEC1RICAL WIRING PERMIT APPI.ICATION <br />JOP AO�RESS <br />IENA".T <br />PROP�TY OWNEiZ <br />[� <br />oarE: ___�� 1 � I `� `70 <br />FEE: <br />t1ECTRICAL CONTRACTOR � � <br />L_T::�`JSc N0. l OU F^ IY 11 171��._ �:<F�ATICN DATE �- � I'�� <br />ACMZNISiRATCR �� o„y� 5 PHONE N0. Z•3 �"J" �� ��� <br />VRLUE OF W�RK (do not include taxes) <br />(for commercia worx! <br />USc OF BUIl.DI��G <br />NCTE: WAC 2°6-46-140 recuires that plans for electrical work attha u5tatenaof <br />institutional or health car= facilities be approved by <br />Washington. Aoolicants with such jobs must shcw the State-aooroved plans <br />bePore a City of Everett pe:nit will be issued. <br />WCRK TO BE DCNE: <br />SIG?dEJ : �GUp ���u,.� DATE �C- I Z-�lli <br />MOTE� AP.D CC`�MEdTS: <br />5i'C/37 <br />L� _°I� <br />