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CITY OF EVERETT DATE � ^ �L �' ( / <br /> ELECTRICAL WIRING PERMIT APPLICATION��f /� � FEE O� <br /> b i <br /> /!- �- / <br /> JOB ADDRESS � �" D l �� ( � /li � ✓ <br /> TENANT <br /> PROPERTY OWNER � ��e'�� L� ��✓ - <br /> � <br /> ELECTRICAL CONTRACTOR �.t) /�-�� <br /> CONTRACTOR'S ADDRESS <br /> • ' CITY 2IP <br /> `.LICENSE NO. ` � � EXPTRAT'_ON DATE �' <br /> ADMINISTRATOR PtiONE N0. �,�-��. Y -��S� <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> �I USE OF BUILDING ��'��pti �e <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> instituti��al or health care facilities be approved by the State of Washington. <br /> Applicants with su�h jobs Rust show the State approved piar.� hefore 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 /> i , /.t�� 77?GC 3 cr r�u , 'TS %o �,�.� � <br /> ' o o % ST � <br /> -, � <br /> �Z n� �y C-� 1'S <br /> f� � O u j S /c✓ Y �( i �SGr �5�� ���.�jL r'z 1� � <br /> ' / ` �/�t-t!�� <br /> ! <br /> I SIGNED: DATE: �� �. ' <br /> � <br /> I <br /> 3/27/90 <br />