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CITY OF EVEAF.TT �' e � DATE___ j��� //qQ <br />--.r__�.� <br />ELECTAICAL WZAING PERMIT APPLICATION FEE o'�S� <br />.roe nn�aess 2ZZ —B/1-t��Q.� �, � l3W�D C!/�72�1' <br />TENANT A �i1-�Ti� �DFiT � r=1/_ i^wn � <br />PROPERTY CWNER _ S/�iN E <br />anecrxicac. rnNTRncroR _ ��� ,�Tf�F C-�C�T .� Z �r,/L�• <br />CONTRACTOR'S ADDRESS �lp z/L � <br />LICENSE N0. �(,�+j�7�f� ��� <br />ADMINISTRATOR �`�� ����� <br />CITY ZIP <br />EXPIRATION DATE� / <br />PNONE N0. � � �— ���%p <br />VALUE OF WORK (do not include taxes) <br />(for commerical wozk) <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requirea that plans for electrical work at ezucational, <br />inatitutional or health care facilities be approved by the State of Washington. <br />Applicants with such jobs must show the State approved plana before a City <br />of Everett permit will be issued. <br />NOTE: Wirinq in non dwellings is reqvired to be in canduit, <br />WOFiK TO 8E OONE: <br />SIGNED: �i � ��� <br />'/27/90 <br />d� <br />DATE: �� <br />5 <br />�� <br />