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/'� <br />CITY OF EVERETT <br />9 <br />DATE1L� - U � <br />ELECTRICAL WZRING PERMIT APPLICATION FEE <br />S FvZ <br />JOB ADDRESS '�'.;�j G(�E�jy�o.Pd <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CpNT <br />CONTRACTOR'S ADDRESS <br />LICENSE N0. <br />� <br />CZTY <br />EXPIRITZON DATE � <br />ADMINISTRATOR PHONE N0. ,�j � ' ��j 3 � <br />VALUE OF WOR1( (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING � <br />NOTE: WAC 296-46-140 requires •.hat plans for electrical work at educational, <br />• institutional or healtF 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 pezm:t will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO SE DONE: <br />�- <br />SIGNED:���G'��., ��/��yi. �� DATE: i%/�J!'� <br />, // <br />