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� <br />� <br />CITY OF EVERETT ' DATE_—�/� f g � <br />ELECTRICAL WIRING PERMIT APPLICATION FEE �/, �JD <br />JOB ADDRESS _, � 3/ L U'� 2�cJ0 � <br />TENTNT <br />P;iOPERTY OWNEA <br />� <br />ELECTRICAL CONTAACiOR S . /i�I. L � �,��Q � , <br />CONTW1ClOR'S ADDRESS � 3 O r�- IY S+ %QC J�NA _/ b�%0 t�— _ <br />C_TY 2IP <br />LICENSE NO. y�/i�EC O � 3 b k C� EXPSRIITION DATE � �o �� <br />ADMINISTHI�TOA � O✓�% bC K%� PHONG N0. S� � a- 3�a� <br />VALUE OF WORK .S O �• �� (do not include tuxes' <br />(for commerical work) <br />USE OF BUILDSNG G 6�I S S'{G �� a�"� _ <br />NOTE: WAC 296-46-140 requires that plans for electrical work at e�ucational, <br />• institutional or healtli care facilities be approved by tiie State of Washinytoa. <br />Applicants with such jobs must show the State a��proved plans before a City <br />of Everatt permit will be issued. <br />NOTE: Wiring in non dwellings is required tu bf� in conduit. <br />WORK TO BE DONE: <br />• �NCtc. I C�o,�Ciw•-� a,v�� W���2 +,� i=G.2 <br />U1= o i/%-� �F () �r'v„�' P✓ <br />SIGNEDe ��%�/.N/ � ��—� <br />DATE t ���i � <br />r.. ♦ .-.��.��..��. ��n�cn`�•r...� �. � . ..� ..... � . •�w�11 � ^�tiSv�Ti j'v. . . <br />