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CITY OF EVME17 <br />ELECTRICAL WIRING PERMIT APPLICATION <br />ry. <br />DATE: — / `r "f 9 <br />FEE: <br />008 ADDRESS ( L� J �p� Nn Y . .5 1 jE-, <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR Ale ,,e ellSCT/- C— <br />LICENSE N0. .4 7 n A/'" EXPIRATION DATE `7/ <br />'/ 1/ <br />ADMINISTRATGR �% �� K�r' 1t t =,N ��` FHONE NO. -7?C/ 6 J-o <br />VALUE OF WORK / pUtJ (do not include taxes) <br />(for commercia work) <br />USE OF BUILDING <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 permit will be issued. <br />WORK TO BE DONE: <br />SIGNED _ _ _ DATE <br />NOTES AND COMMENTS: <br />6110/8- <br />1926H <br />