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�, <br />CITY OF EVEAETT <br />ELECTRICf.L F7IRING PEIiMIT APPLICATTON <br />JOH TDDRESS <br />TEN:INT <br />PROPEATY OWNER <br />ELECTAICIIL CONTFUICTOR <br />r� <br />N.n : <br />bATE � - Z r7.- %�! <br />� ni <br />FEE �.) <br />CONTAACTOR' S ADDRESS X7 /B S�� `� l'.u+�- ��'�"�� `/ �2 �� - <br />CITY ZIP <br />LICENSE NO. �/ ii �/_ G�( �S I l O/� U, EXPSM'CZON DAT6 ' <br />ADMINISTRI�TOR PIIONG N0. Z U Fi - i a'r� � <br />V71LUE aF ''�iiK -� YL.S c, (do not include taxes) <br />(for commerical work),. <br />USE OF BUIL�ING <br />NOTE: WAC 296-46-140 requires tliat plans Lor electrical work aL educatlonal, <br />• institutional or healtli care facillties be approved by tl�e Slate of Washington. <br />Applicants:with such jobs must sliow the State approved plans Uefore a City <br />of Everett permit will be issued. <br />NOTEs Wiring in non �wellings is required to be in conduit. <br />WORK TO BE DONE: <br />SIGNEDs <br />DI�TE: �( ^ Z % — / / _ <br />