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N M <br />H O W <br />0 <br />CITY OF EVERETT <br />RT.RrTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONS <br />CONTRACTOR'S AI <br />(9� <br />' DATE?76 <br />FEEL <br />LICENSE NO. -'zJ'1e'Cz-`r '/F 4-)� EXPIRATION DATE' -L" 42, <br />ADMINISTRATOR tiriJ',//� 9)1,41L _ PHONE NO. KS�2 022 <br />VALUE OF WORK ��G��y (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 DONEE /' .• �/ �' / <br />�"a4� .,.n��l fiix/WP . Qr✓P ��f✓� ��i ✓vthG <br />sIGNEDt <br />DATEt �1 <br />