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CITY OF EVEREIT <br />;�• <br />ELECTRICAL WIRING PERMIT APPLICATION <br />oa�: 9— q �` �" <br />�: 3p. O c� <br />�8 ACDRESS 2�� �� '�o�H Lo� �h <br />TEuaNT .Sa Lq w� � <br />PRCP�tTY OWNE-t Sol �-A ►'`+ o� <br />F1EC7RICaL CONIRACTOR A� D'� S� c V��� S� s�-c `, s <br />LIC-�^. J�� N0. � /�I E � _ � �' .� Q �E!(P�4ATIGN DATE � — � " g� <br />� L ,Z, <br />ACMINIS�ATCfi �� �!C` G � � �1 N � tila � �NE N0. � 02 �-I � 3 / os" <br />VALUE OF WGRK (do not include taxes) <br />(for cemmercial wortc; <br />USE OF BUILDING x C,� d,�„� �l'q I ,�/O n, <br />NOTE: WAC 2°6-46-140 requires that plans for electrical work at educational,� <br />institutional or health care facilities be approved rby the State of <br />Washirgton. Apolicants with such jcbs must show the State-approved plans <br />tefore a City oP Everett permit will be issued. <br />WORK TO BE DONE: <br />r� G✓/r� AI��� <br />SIG�lE] : DATE � % �� <br />PIOT�� A?D CC`^MEITS: <br />: i LC; ? i <br />1^._?H <br />