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CITY OF EVEAETT ,•\ � DATE L/C� L -/ �� <br />� ELECTRIC7J. WIRING PEPMIT APPLZCATION FEE <br /> JOB ADDRESS � 11 CD�L � `���" � '�(�� cAI� `7 n � <br /> TENANT �� �1L �` � LvU I IW � _ <br /> �/ <br /> pROPERTY OWNER <br /> EL'.'1'RZCAL CONTRACTOR // <br /> CONTRACTOR'S ADDAESS // �ITy ZIp <br /> LICENSE N0. EaPIRATION DATE � <br /> ADMINISTRATOR PHONE N0. <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) /� <br /> USE OF BUILDING ��O i'bl�i(L� �r----��� <br /> / <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> inetitutional or health care facilities be approved by the State of Washington. <br /> Aoplicants with such jobs muat ahow the State approved plans before a City <br /> of Everett pexmit will be isaued. <br /> NO:E� Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: ` <br /> . <br /> —.�° In 1/IZL>�'I�n Ic O /j7�� o�lJd l� k <br /> / <br /> r <br /> � �/�Y�f� DATE: y C�` <br /> SIGNEDi LVii�.i� �ti� <br /> 3/27/90 <br />