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CITY OF EVERETT DATE I I`I'f I 5 0 <br />ELECTRICAL WIRING PERMIT APPLICATION FEE <br />�S `�� <br />JOB ADDRESS �g a i � h Q �A r� ��� �r wA <br />TENAN2 <br />PROPERTY OWNER �7 �Y P. ��YG u � <br />ELECTRICAL CONTRACTOR ^ <br />CONTRACTOR'S ADDRESS <br />LICENSE NO. <br />ADMINISTRATOR <br />VALUE OF WORK <br />(for commerical work) <br />USE OF BUILDING �K7 L D fJT � A'L <br />CITY <br />ZIP <br />EXPTRATION DATE _ <br />PHONE NO. ��,��/ �LJ <br />(do not include f�x'�Si' y� - �3 <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 WasY.ington. <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 ciwellings is required to be in conduit. <br />WORK ;O BE DONE: <br />A� v E� vr2-t c.�1-L. C� 2Lu.t Ts Fv R- �1 �iJ M hsT�� <br />t5 D 2.�wN� ArID uN F� I��SIi'E� R-�c .(Z.�o,M <br />SIGNED: <br />� <br />3/27/90 <br />DATE: � I I Y � <br />