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h <br />CITY OF EVERETT <br />ELE:C?F?ICAL WIRING PERMIT APPLICATION <br />i <br />JOB ADCRE55 <br />� TENANT <br />, FROPERTY OWNER <br />. t <br />e:: i <br />u <br />�� <br />� l� <br />�� <br />DATE: <br />FEE: �3, �� <br />G1 � (r <br />�L � (�-, � d / � 1 l- �7" C% _ <br />ELECTRICAL CONT�i ACTOR �%�a� � �` / �'r,.� �"� e � , <br />LZCENSE N0. � l� � -/ G EXPIRATiON DATE _� �,^� �J )� � <br />/ � <br />ADMINI57RATOR L / FHONE N0.3 � � -- �� // <br />VALUE OF WORK �S O-� C (do not include taxes) <br />(for commercia work � <br />., -�, , . �. <br />U�� OF BUILDING //h n�i" � <br />NOTE: WAC 296-i�6-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />4Nashington. Applicants with such jobs must show the State-approved plans <br />before a City oP Everett permit will be issued. <br />wno�t Tn a� nnnl�• <br />��^1 � <br />^r �n Y� \ Y"� �� Y")-. L' O � Yli� <br />SIGNED <br />MOTEi AND :'JMMENTS: <br />6/10/8;' <br />192PIi <br />DATE _��� <br />