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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB AODRESS <br />TENIINT <br />PROPERTY OWNER <br />�/%; <br />� r -j(/ <br />onTE: � n C� <br />�EE: �� <br />�ofy� <br />� 3 r'� P � s <br />� �c'fJ+1Jll�l7iZ- �{' �'(�7`�L47�-- <br />Sj�'�2-_3i <br />ELECTRICAL CONTRACTOR I-v '�-'e � i �� f c YI C- <br />LICENSE N0, y N�'L-jZC��(b'Z(Z 2 EXPIRATIOIJ DATE �� �� �� <br />ADMINISTRATOR �(��� GCcIYI] __ PNONE N0. � 3��'- �/ 3 7 <br />VALUE OF W�iK (do not include taxes) <br />(for commercia work <br />USE OF BUILDING ����'e� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or h=alth care facillties 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 OONE: <br />SIGNED : <br />NOTES ADID COMMENTS: <br />r /10/A7 <br />��..��� <br />� � � Z � <br />��ti � � oArE s �� <br />