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.,.:,1�,..:_r�... . .. � ... __._ . . ..... <br /> ...._.... .. , ._.., ... ._._....._.._..... ...... .... ... ... _........ _._...._. .... <br /> � � <br /> I <br /> i <br /> CITY OF EVERETT . DAT -� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE <br /> JOB ADDRESS (iJ.,( J / '" � r1i.( �I( t5C^ <br /> TENANT � • <br /> PROPERTY OWNER � i L,�1 �NC� ` '» 5� <br /> ELECTRZCAL CONTRACTOA �'t 1'I �L � S � �/�' � - <br /> CONTRACTOR'S ADDRESS �� ��l 7I ^ Y��F �I� w' ���?4� C!/� - <br /> CITY ZIP <br /> LICENSE NO. i9/l�l . �S�IC r EY.PTRATION DATE � _I��S�� �� <br /> ADMINISTRATOR 4i1G PHONE N0. � ��J• ��� <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> • USE OF SUILDING � / � 1` <br /> 4IOTE: WAC 296-45-140 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 /> r <br /> i�/� �;e �,F' ►� ,;�o o/�-,� S r d d/ c a' <br /> SIGNED: �f���j�/��I��,�� DATE: ����'�/ <br /> G� U <br />