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� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS LI C� <br />�"` <br />} DATE I �' � �� <br />FEE G�C� <br />TENANT � <br />PROPERTY OWNER S �� <br />ELECTRICAL CONTRACT�A �� / � '�'`G / �J � <br />_ ,.. _ ...�,_ _n <br />CONTRACTOA' S ADDAESS I G O' �-� �� N <br />LICENSE N0. L���- / �y �� <br />ADMINISTRATOR ���UI�i���� 6` ,���C���LI��� <br />VALUE OF WORK <br />(for commerical work) _ <br />USE OF BUILDING <br />CITY ZIP <br />f? - 3 C' 4 � <br />EXPIRATION DATE _ <br />PHONE NO. / 7 � /��� � <br />(do not include taxes) <br />i <br />NOTE: WAC 296-46-140 zequires 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 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 />Wp[tK TO BE DONE: <br />SIGNED: �/v1i/� � I � DATE: �L� <br />3/27/90 <br />� <br />