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CITY OF FVERETT GATE: �D -��-'(�j % <br /> � m � v - <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: 5 S. <br /> p � x <br /> 'H�" yxy� JOB PDGRE55 ����n �iCIO�O�I�_V� <br /> yxi-+ <br /> K y� TENANT _ <br /> �v.H FRCPERTY OWNER �C1�/�� %7 /-CJ r�-�- V <br /> � �� ELECTRICAL CONTRACTGR 2 � ��/iC./7- �� �=�--f� <br /> OH <br /> H� m g ELEC. CONTRACTOR'S MAILING ADDRE55 -'O�S ��/PU/�/�/i <br /> c�. o <br /> 2 r-i� LICENSE N0. /f7��J/�LJ.� �/7�C/= EXPSRATIGN DRTE � - �S - �/� <br /> gU y ADMINISTRATCft 1Zf/CH/1-/c�L /Cf � C�/�Tl/ PHONE N0. 7 S�Z—S��`�L� <br /> � � �' VFLUE GF WGF;F; (do not incluCe taxes) <br /> '��� (for cortmercia work <br /> �x-7 O U�i <br /> USE OF BUILDING S/-� <br /> � NOTE: WAC 296-46-140 reGuires that plans for electrical work at educaticnal, <br /> � institutional or health care facilities 6e approved by the State of <br /> Washinqton. Applicants with such jobs must =_hcw the State-approved plans <br /> � ��'�i before a City of Everett permit will be issued. <br /> i�� <br /> WCRK TO BE DONE: \ <br /> �I �� /�LdSifl'! � �oo �1-iyi° fh`2�/=l l i'/k'.� 1�/1/�Ci� ) <br /> � <br /> �1�� <br /> � �� <br /> I <br /> ��� I <br /> > _/ o�, <br /> SIGNED : /� � OATE G � -��/ <br /> / <br /> NOTES AND WMMENTS: � <br />