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CITY OF EVERE17 <br />ELECTRICAL WIRING PERMIT APPLICATION <br />.AB ADDRESS C -> Z 3 <br />TENANT <br />PROPEERTY OWNER <br />ELECTRICAL CONTRACTOR <br />ELEC. CONTRACTOR'S MAILING <br />DATE: / G S O r <br />F` <br />a r 4Z&te 0' X(" e — L--�,,e, ff 4 f <br />LICENSE N0. E,YL.�I /Y SS ��/ Z L P EXP=RATION DATE <br />ACMINISTRATCR��y" 7/ (iyC <br />t y �� { J // PHONE NO. 9 S J ^ 2 l / <br />VALUE OF WORK' , OV-T� (do not include taxes) <br />(for ccmmercia work <br />USE CF BUILDING <br />NOTE: WAC 296-46-140 reoui7e5 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 />NCRK TO BE DONE: <br />SIGNED . <br />COMMENTS: <br />DATE <br />