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n <br />� <br />ciTv oF �tErr <br />ELECTRICAL WIRING PERMIT APPLICATION <br />� JOB ADCRESS <br />� TENANT <br />' PROPERTY OWhER <br />— ,isti+p. <br />�� <br />ELECTRICAL COhTRACTOR <br />ELEC. CONTRACTOR'S MAILiNG ADDRE:� <br />LiCENSE N0. <br />DAT�: �J C, I� � I� � U <br />Ft'c: <br />EXF?RA.'i0N DATE <br />ADMINISTRATCR PHONE N0, oZ�� —�� �f d <br />VALUE OF WORK N I� (Co not include taxes) <br />(for commercia work <br />USE GF BUILDING <br />NOTE: WAC 296-46-140 reauires that plans Por eiectrical work at educational, <br />institutional or health care facilities be approveC by the State of <br />Washinoton. Applicants with such jobs -ust show the State-approved plans <br />before a City of Everett permit will be issued. <br />'NORK TO EE DONE: <br />/ . <br />SiGNED : , 'r DATE �1 " i ���j <br />NOTES AND CCMMENT � � � <br />