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�: <br />l <br />_� _ <br />CITY OF EVF3iETT DATE: '�—�'?. � �2.� � �; T <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: �S � <br />JOB ADDRESS _sn�� �� ?�.z,��� �� �� ��-GI — <br />TENANT <br />PROPERTY OWNE4 � iC /' R1�.,(� L r//�% <br />ELECiRICFL CONIRACTOR <br />LICENSE N0. _ <br />ADMINISTRATOR <br />EXPIRATION DATE <br />PHONE N0. <br />VALUE OF WORK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING <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 />% v � FA 0 CX/i //2'/ SF�'L�/!'� T• /1//![.� /`�/�J)1 /l�+iL� <br />.'y-�+ � �.� .1- 5` % <br />SIGNED : ����1-��'� � DATE .S'-_.�__ �� % <br />NOTES AhD COMPIENTS: <br />6/1C/°J <br />192�'I I <br />