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� <br />CITY OF EVERETT <br />ELECTRICAL h'IRING PERMiT APPLICATION <br />JOB ADDRESS <br />tENANT <br />DATE �� �3`�v <br />FEE� GG <br />PROPERTY OWNER �� i (� . Q Il"I '� J� l� <br />ELECTRICAL CONTRACTOR � Q N CY P✓'S ,`! C�_/ �� <br />CONTRACTOR' S ADDRE55 �% �4�-� , ��Ul�s � P Z7� <br />CITY 2 P <br />LICENSE N0: _, S��/V �� E� /h ��,�j EXPTRATION DATE _ <br />ADMINISTRATOR ��q�e �CdfrS PHONE N0. ��`� � ��S <br />VAI.UE OF WORK ` (do not include taxesl <br />(for commerical work) <br />USE OF BUILDING ��g. <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 Wa�hinqton. <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 />WCRK TO HE DONE: <br />SIGNED: <br />3/27/90 <br />DATE: �� ! J ��D <br />