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� <br />�, <br />CITY OF EVERETT DATE: / � � / �" � `% <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE: <br />JOB ADDRESS i ti ! , � •• � : i1 • ,�, � ',: �� o-'1 �- v l y% .. :', ; . . � : � ;`, �. ' . �:. <br />T� - <br />TENANT _ <br />PRCPERTY OWNER /�°�t71 �P `�' `J�Gh _ �?t:Z_ ul�� v <br />ELECTkICAL CONTRACTOR <br />l� <br />ELEC. CONTRACTOR'S MAILING ADDRESS / � ���-;; � ' " � � ��'�/ <br />7:7 /� l. � ..it�L� �J/ -���rf •f ;,�'- !-,. �. � <br />LICENSE N0. �W �/pV _ S! 32M �_ EXPIRATION DATE �— a� 3� / I -''� <br />ADMTNISTRATOR ,J aG F, O w� P�v PHONE N0. � Q_�% � i� % <br />✓ <br />VALUE OF WORK .3.5�� v (do not include taxes) <br />(for commercia wor <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. Ap�licants 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 />SI6NED : <br />:� <br />DATE <br />u h' I i <br />. . �, y:''� ' <br />