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CITY OF EVERETT � ,J � DATE <br /> Ri.F.CTRICAL WIRING PERMIT APPLICATION FEE <br /> JOH ADDRESS ZZ 1 U H�w�-t-r <br /> TENAtiT Non.T�, r7"1�Pt�. <br /> PROPERTY OWNER C(l.A l C� �vN N� `—i <br /> Fi.RCTRICAL CONTRACTOR Oc✓r.��� <br /> CONTRACTOR'S ADDRESS Z�2 aR�, F« ��� E�t-n.� WA. �,� z� � <br /> CITY ZIP <br /> LICENSE N0. EXPTRATION DATE ' <br /> ADMINISTRATOR PHONE N0. <br /> V71LUE OF WOAIC '2' �o J (do not include taxes) <br /> (for co�arical work) <br /> USE OF BUILDING <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> inatitutional or health care facilitiea be approved by the State af Washinqton. <br /> Applicants with auch jobe must show the State appraved plans before a City <br /> of Ewerett permit vill be issued. <br /> NOTEs Wiring in non dwellings is required to be in conduit. <br /> WORK TD HE DONE: <br /> P`��.,5 � ��h�,-�, � Fti ���� o�� <br /> SIGNED: DATE: <br /> 3/27/90 <br />