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� <br />CITY OF EVERETT <br />DATL•' �• /- �'�L,L <br />ELECTRICAL WIRING PERMIT APPLICATION FEE_ '*'a S <br />JOR ADDRESS J '�1010 4j��d�� <br />TENANT <br />PROPERTY OWNER G�//LC/�/jq �„%� y ��Q�7Ll�������ji— <br />ELECTRSCAT, CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />LICENSE NO. /y �(� �E 1i- aF /J c� % C EXPTRATION DATE�� ��/3 / �/ <br />ADMINISTRATOR PHONE NO. � S 3� /�`j � <br />VALUE OF WORK / (do not incl�:de taYes) <br />(tor commerical work) <br />USE OF BUILDING �Jj,{/�'��c ��u�� ��FS� ✓',Fi/� � <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 appz�ved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wirinq in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />SIGNED: <br />%///i� ti <br />� <br />DATE: K[eCG. �- �/ <br />� T <br />