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� C %j; �: <br /> CITY OF EVEREfT DATE: ����� � <br /> 2ECTRICAL WIRING PERMIT APPLICaTION � <br /> Fc_; <br /> �OB ADDRESS '? r�� C�� �= ��� <br /> TENANT <br /> PROPERTY OW�ER J L , � �-�Ci��C <br /> ELECTRICAL CONTRACTOR ,� ,_r, '�S_ C L�=�]�� r c' <br /> ELEC. CONTRACTGR'S MAILING AD�RE�„ _ ? 3�/� � � � t. � r.-�y,�L � �� ,, <br /> L3CENSE N0. EXF_,4P.'i0N DA7E <br /> ACMINISTRATCR PHDNE N0. <br /> V.4LUc OF '�40RK (ce not _ncluee 'taxes) <br /> (ror commercial work <br /> USc GF BUILDING �, � ,, ,�,�, ' r,, , <br /> NOTE: '�IAC 296-46-140 requires that plans Por zlectrical •+�ork at educationz_, <br /> institutional or health carz fac_lities be approvec by the State or <br /> '�vasninoton. Applicancs with sucn jobs ;,,ust show the State-aoproved plar.s <br /> before a City or" Everett permit wili be i=_sued. <br /> ',�CRK TO E= DONE: <br /> ��-��;'l" � � ,c <br /> ��� ��l'� � ,JGZC�'�ti l /�,(iC' C�-Q-� �7�' <br /> . � � - �I <br /> � <br /> , y <br /> 1 <br /> ��' �% <br /> c�GNED /;�' (i.�r�(`��� DATE I C / 1�S <br /> � / /� <br /> NOTES AND COMMENTS: �� <br />