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CITY OF EVERETT <br />DATE — 3 01 <br />ELECTRICAL WIRING PERMIT APPLICATION FEE <br />4 JOB ADDRESS Q SOi➢ r, o-kn ' N/n, 'y ,- <br />TENANT - (=1- cl— It( iTQk <br />PROPERTY OWNER �Y`Q= CJ'n <br />ELECTRICAL CONTRACTOR J ySTL-"yJl <br />CONTRACTOR'S ADDRESS 10Q(S Ntr 07f <br />CITY ZIP <br />LICENSE NO. XS-rr I� RA EXPIRATION DATE n( -� <br />eADMINISTRATOR Q 11-oADn le0. MAj-, , 11 PHONE NO. Qn(1 -4tiT1-'46G I <br />VALUE OF WORK `q' lWo f1('iao( , (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING _KAn Rrli 101006 <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 />yg� Vc)ir CnAPOkA24 <br />SIGNED:_ L I'!%�/�✓ DATE: <br />