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L <br />�i <br />A6A <br />LATE <br />CITY OF EVERETT <br />' <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE (0403 <br />LT1 M <br />JOB ADDRESS <br />9 �-3 Cn <br />'tom <br />• <br />TENANT <br />H W <br />PROPERTY OWNER �I \ <br />CA <br />ELECTRICAL CONTRACTOR NaS-t-ELZ:Z\ <br />H tH" <br />z <br />d <br />y <br />CONTRACTOR'S ADDRESS Ul <br />CITY ZIP <br />O <br />[i7 <br />•.� <br />'f.: <br />LICENSE NO. •�J�-\rr _S \'ti;\Z- <br />•E.XPSRATION DATE <br />t" H s <br />!• <br />ADIUNISTRATOR <br />PHONE NO. <br />HH <br />y H <br />gdy <br />VALUE OF WORK Z` 35 <br />(do not include taxes) <br />q <br />(far commerical work) <br />� <br />Z H ca <br />USE OF BUILDING -ti AST 1M��Lc�� <br />1•�i\'i�� <br />H O fn <br />• <br />NOTE: WAc 296-46-140 requires that plans for electric:Al work at educational, <br />institutional or health care facilities be aopro7ed by the State of Washington. <br />Applicants with such jobs must show <br />the State approved plans before a City <br />... <br />of Everett permit will be issued. <br />' <br />i <br />s� <br />NOTE: Wiring in non dwellings is repuired <br />to be in conduit. <br />'o <br />s or <br />:. <br />WORK TO BE DONE: ' <br />o � <br />LtC�I�CLK''il� <br />9 <br />DATE: I.0 -O Z-- �I O <br />14, E,iG <br />=1 <br />