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CITY OF EVERETT <br />DATE - � �J � �CJ <br />ELECTRICAL 47ZRIhG PERMIT APPLICATION FEE <br />Jos aD��ss �'� L�i�IX-� To,c.) �4CJ[— i/cve{� LU-¢ �i'�FZ0.3 <br />TENANT <br />PROPERTY OWNER �/{C��L f-�+-,:,r �i �.. �S �� �O�91� <br />ELECTRICAL CONTRACTOR �('AIVlO11 <br />CONT?2ACTOR' S ADD.RESS <br />LICENSE N0. <br />ADMINZSTRATOR <br />VALUE OF WORK <br />(for commerical work) <br />USE OF BUILDING <br />CITY <br />EX.PTRATION DATE <br />PHONE N0. <br />(do not include taxes) <br />ZIP <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional cr health care facilities be approved by the State of [4ashington. <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 DONi� <br />/ . a I. < 0 � t � i <br />SIGidED: � _ DATE: 'J l��/v <br />3/27/90 <br />