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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS a 33 y 6 3-,C <br />TENANT <br />C" 1 <br />DATE: <br />FEE: <br />ST <br />PROPERTY OWNER .99y/1 rl <br />ELECTRICAL CONTRACTOR C-�JI Z6� J <br />ELEC. CONTRACTOR'S MAILING ADDRESc <br />LICENSE NO. <br />ADMINISTRATOR <br />EXPIRA71ON DATE <br />PHONE N0. L <br />VALUE OF WORK (Cc not include <br />(for commercial work <br />USE OF BUILDING _ R 1-5 , _ �� Vc___ <br />taxes) <br />NOTE: WAC 296-46-I40 reduires that plans fc electrical work at educational, <br />institutional or health care facilities be approved 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 />WORK TO BE DONE: <br />i✓ E <v 2 <br />SIGNED A3�r/�t.., Gc / DATE <br />NOTES AND COMMENTS: <br />