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� �"0'1 <br /> ��/ <br /> CITY OF EVERETT DATE ,�C � D �� <br /> ELECTi2ICAI� WIRING PERMIT APPLICATION cEE /�.�S <br /> Joa rwox�ss "�'Suy Larn b�.rcl C?rr� � �u�re�f GVCt . <br /> TENANT — <br /> PROPERTY OWNER �ay( � • S�a-�.I' <br /> v <br /> ELECTRICAL CONTRACTOR �� 7� <br /> WNTRACTOR'S ADDRESS ! �D• I�'7� I�"1 G-�/1C= S��/]� �� ��, (,�g��1 <br /> CITY ZIP <br /> LICENSE NO. EXPTRATION DATE � •� <br /> ADMINISTRATOR PHONE N0. `��-�'�-77�ID <br /> VALUE OF WORK r {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 /> �P,la •�60 117N��' ��7�C� ,t;�tn.£,� . <br /> SIGNED: DATE: <br />