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CITY OF EVERETT DATE: / � / � O / <br /> G <br /> ELECTRICAI WIRING PE3tMIT APPLICATION FEE: a?j7 C� <br /> JOB ADDRESS _� ��� � �(��� � � �� ` i� <br /> TENANT <br /> � <br /> FROPERTY OWNER �lac i�� c �C'rv � c c '� )r,rn� . (-11���1<�,� �uST. � <br /> ELECTRICAL CONTRACTOR �� , ml�r`Tlni �" I� c II I �- <br /> LICENSE N0. �fA,�,rl Y t �7.� y,�/ EXPIRATION �ATE I/� ./ � S' ' <br /> ADMINISTRA?OR F.�I c I� rMYI T�N PHONE N0. �`/2 -�J � �L <br /> VALUE OF WOFtK ,� �_ (tlo not include taxes) <br /> (for commercia work <br /> USE OF 3UILDING ( +� � ii <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilitles be approved by the State of <br /> Washington. Applicants with such �obs must show the State-approved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> �V/✓r ' /A,'t�J llll�l �� �L i I�nt� �G� �l_�O ��)/ iC'✓vi! i ', <br /> � -}- / ./- 1 —�-- <br /> 14�/` . ot/%/< i �u �,�� !/Nilt <br /> SIGNED : �����'� .�� DATE �I �� �� _ ,� � <br /> P!flTFS AND CO M[MTS: <br /> 6/i��;A7 <br /> �'�,'f?:I <br />