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CITY OF EVERETT DATE <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE: <br /> JOB ADDRESS 71 3 /,,2 < I [7 'I 7� t_ <br /> -TENANT <br /> PROPERTY OWNER 7j; c <br /> ELECTRICAL CONTRACTOR <br /> LICENSE NO. EXPIRATION DATE <br /> ADMINISTRATOR -_-� J�r(� �� PHONE NO. <br /> VALUE OF WORK (do not include taxes) <br /> (for commercia work <br /> USE OF BUILDING _ I I <br /> I <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of <br /> Washington. Applicants with such ,jobs must show the State-approved plans <br /> before a City of Everett pr-,iit will be issued. <br /> WORK TO BE DONE: <br /> SIGNED 1%SLL' I L ' _ DATE <br /> NOTES AND COMMENTS: <br /> 6110187 <br /> 1928H <br />