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CITY OF EVEREiT <br />EIECTRICAL WIRING PERMIT APPLICATION <br />/ <br />----�r�.�,j �. <br />DATE: <br />FEE: � <br />;,OB ACCRESS /,�`'�/ — IC�,% `� � S � S�'( / <br />TENANT G� � � )l�%�� � �L' l�j� �2- <br />PROPERTY OWNER S��t�--- <br />ELECTRICA�_ CONTRACTOR % i'li Ti` 7Z C� /� �/ L' C% �z ' C _ <br />LICENSE N0. %/I; � L-7C� 1'��Z �z Z EXPIRATION DATE �� � r3' <br />ADMINISTRAT�R �/,, /'� G � c� ��� ) PHONE NC. 3 � ��� � � � `% <br />VALUE OF WORK � (do not Snclude taxes) <br />(for commercia work <br />USE OF BUILOING ! ��� / ?���� <br />_,_—� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional �r health care far.ilities be approved by the State of <br />Washington. Applicants with such jobs must show the State-approved plans <br />before a City of Everett pennit will be issued. <br />WORK TO BE �ONE: <br />� , � , ,, <br />SIGNED : ��� � '� DATE � '� � <br />NOTF� AFID CCMMENTS: <br />6(/]10/8' <br />1JL�H <br />