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(ci, <br />cm <br />Q.31 <br />'1 <br />Uri <br />�cr, <br />J" <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />i <br />DATE!�'7�� <br />FEE <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNERS <br />ELECTRICAL CONTRACTOR A 1" AYE <br />6 R,2 <br />CONTRACTOR'S ADDRESS I 1� T CITY <br />LICENSE NO. /t! " EXPIRATION DATEr�//. <br />ADMINISTRATORI l(n�r I"�c� kr� t� i`:� PHONE NO. <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING <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 approved plans before a City <br />of Everett permit will be issued. <br />NOTEt Wiring in non dwellings Is required to be in conduit. <br />WORK TO BE DONE: / <br />r <br />r ' <br />j <br />( 112 <br />SIGNEDt / .�/"5 DATEt <br />. �..�.^a�n+rn��n^..mis-a-n.r.�wr-i..+s�cnr.rm�a✓.rrM1��'.�vneon:—nr�n1!'�nf)hN�31+T�11'Qf^T.• �.�I.:.SY•:��r�.•:^�9!�:�i.�i+�};��.��.'���i4r7�.�i��S:•iCtM'.': <br />