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CITY OF EVERETT DATE: �j( — �- {�.Q- <br /> ELECiRICAL WIRING PERMIT APPLICATION FEE: a S' �' <br /> JOB AOURESS /� 4_� ] T/��j-1 h .r� I�Cw.I �� � <br /> TENANT <br /> FROPERTY OWNEi C G n I i P Cr ?��/�(I <br /> ELECTRICAL CONiRACTOR {; �'y]n�� '� �=� p�.�(�,r <br /> LICENSE N0. �/�M����7 �) EXPIRATION DATE <br /> ADMSNISTRATOR PHONE N0. 7 ya -�rPSa <br /> � <br /> VALUE OF W�iK (do not include taxes) <br /> (for commercta work <br /> USE OF BUILDING _ r�����N � Q <br /> NOTE: WAC 296-46-140 requires that plans Por electrical work at educational, <br /> institutional or health care Pacilities be approved by the State of <br /> Washington. Appllcants with such ,jobs must show the State-approved plans <br /> before a City of Eve:ett permit will be issued. <br /> WORK TO BE DONE: <br /> _ G;i� r,� Q <br />, <br /> srcr�o : � �. �,,..�.�.�,eC oare 6 - 7 � � � <br /> NOTES AI�A COMMENTS: <br /> - — - <br /> . <br />, G/10/H7 � ' <br /> 1928H <br />