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�.. <br /> CITY OF EVERETT DATc: � ��� <br /> � ` �_ i� <br /> ELECTRICAL WIRING PERMIT APPLICFTION FEE: <br /> -t_,- � <br /> JOB �DORESS �%� ��� � =� v - �-e,�' <br /> TENANT — <br /> PROPERTY n{�INEk /!/„ ;���� — <br /> ELECTRICAL CON7RACTOR �_F.(C�c�r i L ����- __ � <br /> ; <br /> i�. � ;7 <br /> ELEC. CONTRACTOR'S MAILING ADDRESS �2!1`� !f;�� �„� : � ,;,,� � � ���c' ' <br /> LICENSE N0. 7���Lf_. �' �6 `I/V� EXPIRATION �ATE , - 31 -,�o ___ i? <br /> � <br /> �� <br /> ADMINISTRATCft �jcr „� /1/; ; ,.' ';_ / PHONE N0. ? i ' `%`-/-- � <br /> r <br /> VALUE OF WORK (r�� not �rr_lur'��� ���xes` <br /> (for commerciaTworT � <br /> USE OF BUILDING j: � <br /> -------- - --- ----------- ---- -----------— i" <br /> � <br /> e <br /> NOTE: WAC 296-46-140 requir.es that plans for electrical work at educatien� , �� <br /> instituti.onal or health care facilities be approved by the Statt , <br /> Washinaton. Applicants with such jobs must �ho�� the State• 2pproved pl-�.:- �' <br /> before e. City of Everett permit will be i.ssued. � <br /> 4VCRI( TO BE DOME: <br /> ,�;��� A �r"vlc � C� , i;C � <br /> ' � '�i <br /> , <br /> � <br /> :� <br /> — � <br /> SIGNEC : /�� ��L. �,�� � � ��-, DATE �� �' i�-;-' l <br /> NOTES AUD COMMENTS: <br /> �•. <br />