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CITY OF cVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS � I 5 I�� <br />TENANT <br />/ � • <br />�ATE: 5�M� 4 I�� 1 <br />_� <br />FEE: <br />PROPERTY OWNEFt Y�'1 �t� w �-- <br />ELECTRICAL CONIRACTOR �Az�, 5 c--S i 31 t� � <br />LICENSE N0. c�Fl�,� �-5 13 � D c'� EXPIRATION DATE <br />ADMINISTRATOR � 1°,2� � • �O �^^� S PI-IONE N0. � � � " ! u U„� <br />VALUE OF WORK (do not lnclude taxes) <br />(for commercia work ^ <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional oi health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show Lhe State-approved plans <br />before a City of Everett permit will he issued. <br />WORK TO BE DONE: <br />YI P a J 2-(Ni �" /1 <br />SIGNED : <br />IIOTES AND CO�AMENTS: <br />6/1�/R7 <br />j9�P,H <br />DATE <br />