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A <br />CITY OF EVERETT DATE Z12 / 1- <br />ELECTRICAL WIRING PERMIT APPLICATION FEE .3 <br />JOB ADDRESS Q� I I _ 12C� o '; C7C.'l•—� . <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />LICENSE NO. <br />CITY ZIP <br />EXPIRATION DATE <br />ADMINISTRATOR ' _ PHONE NO.Ix <br />VALUE <br />VALUE OF WORK 6L) (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 />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />,q C G <br />-� -� - <br />SIGNED: � DATE: <br />