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I <br /> 6 <br /> f <br /> CITY Ck= EVERETT DATE' _ d ' /� -,�� <br /> ElEC7RICAL WIRING �ERMIT APPLICATION FEE: <br /> JOB AD�RESS �[,i/l - �j =z Sf <br /> TENANT <br /> PROPERTY OWhER ��w ��y�� T�, <br /> ELECTRIrAL CONTRACTOR J �9, �f �/e��;� <br /> ELEC. CONTRACfOR'S MAILI�VG AUDRESS �pS ,23� �` Sf ,�'J �JG� G�� i'�U��2 <br /> LICENSE N0. ��/}y,J'p��j /.y� �)� EhPIRATION DATE �- �/;� <br /> AD��IINISTRATCR ! <br /> /��� ' �- PHONE N0. '7?/-IDOS� ' <br /> VALUE OF WORK (do not inr�ude taxes) <br /> (for �ommercia work <br /> i <br /> USE OF BUILDING _��� ,��,� ,�e�����e�_ <br /> NOTE: WAC 296-46-14U requires that Flans for electrical work at educat_ona1, <br /> instituticnal or health care facilities be approveU by the State of <br /> Washington. Applicani-s with such jobs musY show the State-approved plans <br /> before � City af Fverett oermit will be �.ssue�]. <br /> W.'lRK TO BE r,UP�: <br /> _ _�r �c_ /�1 c: ��.�c::sc_ =iL�/�11� ..�-;��,3n,i� S-�'�tv. �- <br /> --T - <br /> szcn�Eo : � �;o� _ DATE _� /t/-rYJ <br /> / <br /> NOTES AND CO�t�1ENTS: � <br />