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Hxx0H <br />Cq � <br />H <br />C H <br />9Hfn <br />HEX <br />t< 1-3W �f <br />' H $ <br />NH <br />Y <br />Ho <br />O U�y <br />tJ <br />HH <br />ZH <br />0tv My <br />oC4 <br />I <br />U <br />r <br />U <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS �llb IYIU�pILT�D�--VD <br />TENANT <br />PROPEPTY OWNER �GII G <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />DATE II-2-3 <br />FEE /--30 <br />LICENSE NO. F20iLo),bCS I4SMI EXPIRATION DATE <br />ADMINISTRATOR �' ��-��jti�� P110"r NO. 714 <br />VALUE OF WORK I� (do not incl'.:de taxes) <br />(for commerical work).. <br />USE OF BUILDING --4 1 g F <br />NOTES 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 he in conduit. <br />WORK TO BE DONE: <br />SIGNEDt _ DATE: <br />i <br />��c I;4 <br />