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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />�G3 ACfJRE55 <br />TENANT <br />� �, <br />FftOPERTY OWNER � /�� ( �lu ," <br />DATE: �/�/� � � <br />FE� -��j,OC� <br />/ <br />�ECiRICAL CONiRFlCTOR �' (� �� �( �r �f � <br />L�.C�NS� N0. �'!-� ����' f�i5p / EXP�4ATICN DATE �c� v' �%� <br />AC�+IINIS iRATCR G�Kc� U5o �� Z FHONE N0. ��S, �� �j% .�� <br />VALUE OF WCRK (do not inclu�e taxes) <br />(for ccmmercial worxl <br />USc OF 9UILDING <br />NOTE: WAC 296-46-140 requires that plans r"or electrical work at educat_onz1, <br />institutional or health care fac'_lities be approved by the State or' <br />Washirgion. Apolicants with such jcbs must show the State-aoproved plans <br />ber"ore a City or Evereti pe=�ii will be issued. <br />'dORK TO BE DONE: <br />SIG��IED : /����— �� _ ���� OATE �/y �O LS <br />� .� � , _ _ <br />DlOTES A.�!0 �CCP?ME175: <br />6/10/c�7 <br />19�2H <br />