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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRArTOR <br />de e. <br />ELEC. Cnt; RACTOR'S MAILING ADDRESS <br />LICENSE NO. <br />weir <br />DATE: <br />/ CC) <br />FEE: 3C <br />is S�. <br />ee vet �rc�� <br />U <br />EXPIRATION DATE <br />T <br />ADMINISTRATOR PHONE NO. f', 9-2/ <br />VALUE OF WORK <br />DO (do not include taxes) <br />(for commercia wor <br />USE OF BUILDING (2 h wi)CA <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 />')efore a City of Everett permit will be issued. <br />WORK TO BE DONE: / <br />i <br />i <br />SIGNED ; <br />NOTES <br />9 1f <br />DATE iIy J <br />