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,-. <br /> CITY OF EVEREI'T DATE: �� <br /> ELECTRICAL WIRING PEAMIT APPLICATION FEE: <br /> i.a'�`" .708 ADOi�E55 /�D � YyL✓� � C ' fl�ib% ' <br />� ,,., <br />�'''' TENANT Gf/ �7 • <br />{ , , . PR�ERTY OWPER � (., YL�Jl�Gf%� ��Ll L <br />� ELECTRICAL CONTRACTOR �r} �/�,C�Gt �Pl'�` • <br /> i' ELEC. CONTRACTOR'S MAILING ADDRE�.: ��/rJ/IGl��O' <br /> I — <br /> j ' LZCENSE N0. EXFIRATiON DATE <br />�.�:., <br /> i•: . <br />�', ' ADMINISTRATCR PFIONE N0. <br />, <br /> j - VALUE OF WORK (do not include taxes) <br /> i,;;a;;' (for commercia wor <br />� ; USE OF BUILDING <br /> i�; ,-. <br /> � <br /> NOTE: WAC 296-46-1•'+0 reauires that plans for electrical work at educational, <br /> institutional or health care facilities be approveG by the State oP <br /> Washington. Applicants with such ,jobs rust show the State-approved plans <br /> bePore a C_.ty of Everett permit will be issued. <br /> WOP,iC TO BE DOIvE: <br /> ' SIGWED : ' DATE <br /> NOTES AND COhMENTS: <br />