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�r+ <br />CITY OF EVERETT <br />gLECT(tICAL WIRING PEAMIT APPLICATION <br />JOB ADDAESS <br />TENANT <br />� <br />� <br />DATE � /f/ <br />FEE <br />PROPERTY OWNER S� <br />ELECTRICAL CONTRACTOR /� c1 <br />� . � _ r/ � /- . _ � ��.( Q'� _ <br />CONTRACTOR'S ADDRESS <br />LICENSE NO. /�/br![� _ <br />ADMINISTRATOA __. <br />VALUE OF WORK <br />(for commerical work) <br />CITY <br />EXPTRATION DATE-. <br />PHONE N0. J S S" !J 6� `" <br />(do not include taxes) <br />ZIP <br />USE OF BUILDING 4M a�.e. Fam ��v Me s r N¢nC¢ - <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />• instjtutional or health care facilities be approved by the State of Washinqton. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everatt permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO SE DONE: <br />.,.,� �or <br />SIGNED: � "/ / """ � DATE: <br />� <br />��3� <br />—^:�.!C•X!»M'7R:�f"."..,r.>:.��: :.1' l . ^:TI: . �'.'�r5!':,", e'�i1�f„`�,^F'Y"^..'.1�. <br />,.,.....�..�........ �,.ni�..c....-'-: �n-:: �-,..rTr-r-�.—;._-•,waw.--r-.;.....nzr'.: .. .... . <br />