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.1 <br />9C'j <br />,0 �1 <br />9 H VA <br />y <br />�e c� <br />N p $ <br />CITY OF EVERETT <br />DATE: Jr/yG' <br />00 <br />0 H g <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE: <br />G]Y C] <br />zH�H� <br />H 1-3OB <br />ADCRE55 <br />c0i t7 M <br />TENANT <br />crr <br />3 En <br />PROPERTY O'NNER <br />ELECTRICAL CONTRACTOR _/i!/��/�1/ <br />f ��� ��✓ i/�� <br />d <br />LICENSE NO. /��Jf <br />CG/C EXPIRATION DATE <br />ACMINISTRATCR C����� <br />dip <br />PHONE N0. <br />VALUE OF WCRK <br />(do not include taxes) <br />(for commercial work <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that <br />plans for electrical work at educational, <br />C, <br />institutional or health care <br />Washington. Applicants with such <br />facilities be approved by the State of <br />jobs must show the State -approved plans <br />before a City of Everett permit <br />will be issued. <br />i <br />I <br />WORK TO BE DONE: <br />aGl�,�i. <br />6�d C�,r�y✓��= <br />SIGNED LC/ DATE t ✓� r <br />NOTES AND C MMENTS: <br />6/10/B7 <br />192EH <br />