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i <br /> CITY OF EVERETT DATE: <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> OB ADDRESS �g/zl- 60 <br /> TENANT <br /> PROPERTY OWNER x_41ju)ar4 ID, <br /> ELECTRICAL CONTRACTOR I( }fZf1 A <br /> LICE}ISc NO. E.(FIRATICN DATE <br /> ACMINISTrRATOR PHONE N0,--�- 5y2--711y I <br /> VALUE OF 'WCRK_,r 411i60= (do not include taxes) <br /> (for ccmanerciai wom <br /> USE OF EUILDING )r $psj�n Q� /l lu��+ TnrA:iy <br /> NOTE: WAC 2.06-46-140 reauires that plans for electrical work at educational, <br /> institutional or health care fac-4 ties be acproved by the State of <br /> Washington. Aco:icants with such ,jCds must show the State-=pproved plans <br /> before a City of Everett permit will be issued. <br /> WORK TO BE DONE: <br /> ok me+er' Okla ex"ie� !)reJious��/ <br /> SIGNED : - DATA <br /> NOTES APS CCMMEIT <br /> 6i1Dia7 <br /> 1?2'H <br />