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CITY OP EVERETT DATE � I /C' <br />ELECTRICAL WIRING PERMIT APYLICATION FEE ���1e <br />JOB ADDRESS y � �� �<'y� :i %//" : /� t.. <br />TGNANT <br />«- �qqci ,'�' r :5 c .._. <br />PROPGRTY OWNER /�� �� -•. N •� �J r� , � f" «-� <br />6LGCTRICAL CONTRACTOR ! � « �'< <� •" <br />CONTRACTOR'S ADDRESS <br />LICGNSE N0. <br />ADMINISTRATOR <br />VALUE OF WORK. <br />(for commerical work) <br />CITY <br />GXPIFATION DATE <br />ZIP <br />PNONfi NO. � j �- .� / � J -- <br />(do not include taxes) <br />USE OF BUILDING �! ��� c _S�/' s,��. <br />NOT;,: WAC 296-46-140 reyuires [hat plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washinyton. <br />Applicants with such jobs must show the State approved p;ans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwcllings is requircd to Lc in condait. <br />4JGRK TO BE DONE: <br />c - c✓iI+ t <br />%LL-f"./,5. /��.� ,/ <br />� <br />SIGVPD: <br />3/2 7/ 30 <br />C <br />� <br />DATE: I� �Z i�� <br />