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k-.; <br />N <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />DATE: Z <br />JOB ADDRESS <br />TENANT <br />00 <br />FEE: <br />PROPERTY OWNER�NL <br />ELECTRICAL CONTRACTOR <br />ELEC. CONTRACTOR'S MAILING ADDRESS 2 (o00 7z-JPj �v • W - _ <br />LICENSE NO. (I om b EXPIRATION DATE -7 <br />ADMINISTRATOR PHONE NG. 19 <br />VALUE OF WORK <br />(for commercia wort <br />USE OF BUILDING P&S7D E 1N 1) r�-U <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires 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 />WORK TO BE DONE: <br />�L`7 n PO l•'1 ��O L 'Fauc- I i -C?j bL ff-WM , <br />SIGNED � � �1�-S�DE� DATE <br />NOTES AND COMM . S: <br />