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,.w.� <br />CITY OF EVERETT � <br />ELECTRICAL WIRING PERh1IT APPLICATION <br />. JOB ADDRE55 (�, [� t <br />TENANT <br />� PAOPERTY OWNER <br />• ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />c <br />0 <br />� DATE_� <br />F?'E �� <br />C`� <br />S� <br />� <br />�36 <br />��MW O� c� , �..�c'a, 9.�YU �� . CITY ZIP <br />LICENSE N0. � ���� I I- L�� n J L EXPSRATION DATE � <br />ADMINISTRATOR 4;yyo y� �p,^�ti PHONE N0. /��- � SSS <br />VALUE OF WORK (do not include taxes) <br />(for cummerical work) <br />USE OF SUILDING �LT — <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 rec;:ri:ed to be in conduit. <br />I40RK TG BE DONE: <br />SIGNED: <br />3/27/90 <br />e <br />DATE: <br />