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;4, <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />v% — <br />DATE: <br />FEE: <br />PROPERTY OWNER 4jj C I 1 L +4qh �l (i1L! 12/Y.L__ <br />ELECTRICAL CONTRACTOR OCt)n D Il <br />ELEC. CONTRACTOR'S MAILING ADDRES- <br />LICENSE NO. <br />ADMINISTRATOR <br />EXPIRATION DATE <br />PHONE W. 35-3- -7V 70 <br />VALUE OF WORK (do not include taxes) <br />(for commercial work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 reduires that plans fo: 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 permit will be issued. <br />WORK TO BE DONE: <br />SIGNED : <br />NOTES AND COMMENTS: <br />DATE <br />