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CITY OF EVERETT 00 dO DATE - k�k- `O <br />ELECTRICAL WIRING PERMIT APPLICATION FEE C . �L7 <br />JOB ADDRESS �1.-��C-2-P'\ P� FLy'r-_2 <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />7 <br />CONTRACTOR'S ADDRESS <br />CITY ZIP <br />LICENSE NO. <br />ADMINISTRATOR <br />VALUE OF WORK <br />(for commerical work) <br />USE OF BUILDING <br />EXPIRATION DATE <br />PHONE NO. "1U <br />1�t3— lco'1`� <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in ca.duit. <br />WORK TO BE DONE: <br />SIGNED: <br />3/27/90 <br />DATE: q /(-q <br />