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1� .. _ LIfJ.t� '. . . . . . . . .. w . .. ,. . 1'.il� :.l��1C, . ...u_ � ..n .ILi.w..�Yl1C '.. . .. .. . ' .. ... , .. e_ . . � q�.�. .. _ <br />, <br />r <br />CITY OF EVERETT � � � DATE � � <br />ELECTRICAL WIRING PERMIT APPLICATION 1 FEE <br />JOB ADDRESS _ � <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTO <br />CONTRACTOR'S ADDRESS <br />� <br />CITY ZIP <br />LICENSE N0. �/�F ����0� EXPTRATION DATE' <br />ADMINISTRATOR /fp//O � ��f�D✓0�� PNONE NO. _�J� e�.c�B�� <br />VALUE OF WORK � (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING S r <br />NOTE: WAC 296-46-140 requires that plans for e ectrical work at educational, <br />inetitutional or health care facilities be approved by the State of Washington. <br />Applicants with such jobs muet show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dweliings is required to be in conduit. <br />WORK TO BE fY,iN�: <br />SIGNED: <br />3/27/90 <br />DATE: �/ <br />�.. .�n ,.... ...+ .... .. . . .. ......... �.�cn-rr nr.-e�t..r.:�. ,-. .wr�.�r�1nT-n,..�,:(" .. ...r�n���o�...l)1r - �^fYn..�•p,y •�• <br />