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CITY OF EVF�E i7' <br />oaTE: <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRE55 oc�(L�- ���� Q�7 _ <br />TENANT <br />Fft�PERTY OWNER <br />ELECiRICAL CONiRACTOR DIP 91�I�� <br />LICENSE N0. <br />ACMINISTRATOR <br />EXPIRATION DATE <br />PHONE N0. ��—�{aq �_ <br />VALUE OF WORK ido not include taxes) <br />(for cemmercia wark) <br />USE OF BUILDING ���c_ <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 />befoie a City of Everett pPrmit will be issued. <br />WORK TO BE DONE: <br />r <br />SIGNED : <br />NOTES AhD/EOMMENTS: <br />6/10/27 <br />1922N <br />DATE /„2 — e?$ — S' � <br />