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:�.)1�J� M[AIYY\1LL�L�t Ydt.4]lL�u�41.:1'�14:1L1� I� <br />� 1 <br />C2TY OF EVERETT � <br />ELECTRICAL W2RING PERMIT APPLICATION <br />�JOB ADDRE^u5 � <br />TENANT <br />PROPERTY �J�9P�ER <br />T�CNY S� lJs � <br />.� <br />D71TE � `v � �_ <br />FEE <br />ELECTRICAL CONTRACT6R ���' R o11G L� �+O <br />CONTRACTOR'S ADDRESS ��-�o (l� �%S ST ��'r7�.E' �lVi9 q91 3 3 <br />CITY ZIP <br />LICENSE N0. M�YCx R�'�4�'3I `I aI� EXPTI2ATION DATE ' � �- 1 S�� I <br />ADMINISTRATOA �C�ILLI q�� Li r� YHONE N0. (�G� �c��i ��` `f 3 <br />VALUE OF WORK • (do not include taxes) <br />(for commesical work) <br />USE OF BUILDING �ff.Ti>jt--- <br />NOTE: WAC 256-46-190 requires that plans for electrical wor}: at educational, <br />institutional or lieaZth care facilitie� be approved Uy the State or Washington. <br />, Applicants with such joUs must show Che Stata approved plans�before a Cil•y <br />of Everett permit wi.11 be issued. <br />NOTB: Wiring in non dwelli��gs is required to Ue in conduit. <br />WORK TO BE DONE: <br />Oti1F �al��-� �AG� E��' 1�1 �: ��i l_ S l G 1�l <br />SIGNED: <br />r <br />' <br />DATE: <br />