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�, <br />CITY OF EVERETT DATE: 2 '�'/ <br />ELECTRICAL MIRING PERMIT APPLICATION FEE - <br />JOB ADDRESS 220 7 :2 i/ <br />TENANT„[ <br />PROPERTY OWNER cS� i'I� �i50C1� <br />ELECTRICAL CONTRACTOR <br />ELEC. CONTRACTOR'S MAILING ADDRESS <br />LICENSE NO. �,� �� /���� EXPIRATION DATE <br />ADMINISTRATOR ���%� PHONE NO. <br />VALUE OF WORK /U, (do not include taxes) <br />(for commercia wor <br />USE OF BUILDING <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 />SIGNED : <br />NOTES AND COMMENTS: <br />DATE 8 c <br />