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CITY OF EVERETT �,ry� <br />� <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOH ADORESS <br />TENANT <br />PROPERTY OWNER <br />S <br />r <br />�"'°, DaTE �D rZ'Q <br />FEE �'� <br />F,LECTRICAL CONTRACTOR _ %�- GT l Lj'e �D C� � <br />CGNTcZACTOR'S ADDRESS <br />C <br />ZIP <br />LICENSE NO. <br />EXPTRATION DATE' <br />ADMINISTRATOR PHONE N0. �-Pj�2jf�'��J_ <br />VALUE OF WORK ��.p-�.-E� (do not include taxes) <br />(for commericai work) <br />USE OF SUILDING <br />NOTE: WAC 296-46-140 reauires that plans for electrical work at educational, <br />institutional or health care Pacilities be approved by t'r.e State of t9ashington. <br />Applicants with such jobs must show the State approved plar� be:ore a City <br />of Everett perm�t will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />a <br />SIGNED: <br />3/27/90 <br />DATE • ( �CI <br />