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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PRCPERTY OWNER fU5(I <br />ELECTRICAL CONTRACTOR <br />DATE: <br />ELEC. CONTRACTOR'S MAILING ACORES 27d ,1- SD �1kC 1l% r l Cly as (I I ! � - <br />LICENSE NO. S1 0S F T-IP IQ k EXPIRATION DATE / <br />ADMINISTRATOR SL 0/_ I ' 1 i G I e' lam- PHONE NO. _G 5-?- <br />VALUE OF WORK (Cc not include taxes) <br />(for commercial work <br />USE OF BUILDING fi/t-("J M_4-7? -C' <br />NOTE: WAC 296-46-140 recuires that plans fo_ electrical work at educational, <br />institutional or health care facilities beapproved by the State of <br />Washington. Applicants with such Jobs rust show the State -approved plans <br />before a City of Everett permit will be issued. <br />WGRk Tn PC nnnc- <br />SIGNED DATE o� tYy <br />NOTES AND COMMEN <br />