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aHcrn <br />H �3 <br />k n <br />b <br />ti J <br />t' <br />HC <br />1-4 <br />y�V <br />t H1 <br />NH <br />gCA <br />� tv to <br />lm t <br />H O ty0 <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />DATE ry- . %/ <br />FEE ,? <br />TENANT <br />PROPERTY OWNER ( CI I o i pet, <br />ELECTRICAL CONTRACTOR h �t M 9 if ! ]� <br />CONTRACTOR'S ADDRESS S62 C f k-111 a ✓t +-'e Sit iLZ 70 <br />fmi&L. CITY ZIP <br />LICENSE NO. I 'ors M 23 .]' I `1 �t1 EXPIRATION DATE _ <br />ADMINISTRATOR " L ur PHONE NO. —/, y 3 - ( 7 1 S� <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING <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 conduit. <br />WORK TO BE DONE: <br />^^''II ` <br />C. <br />SIGNED: DATE. <br />I <br />I <br />R <br />