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CITY OF EVERETT DATE: Y <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS ?1,2 1�2 _6 __5__74 S� <br /> TENANT <br /> PROPERTY OWNER <br /> ELECTRICAL CONTRACTOR <br /> LICENSE NO. /j7( oGit/i` V J9 C/r` EXPIRATION DATE , a <br /> ADMINISTRATOR C� 7"-2? PHONE NO. <br /> VALUE OF WORK (do not include taxes) <br /> (for ccmmercia-7 works <br /> USE OF BUILDING �f -44 ' - — <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities he 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 DONE: / <br /> TT � <br /> SIGNED DATE <br /> NOTES AND COMMENTS: <br /> 6110187 <br /> 1922H <br />