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CITY OF EVERETT DATE C� / Ci <br />3 °U <br />ELECTRICAL WIRING PERMIT APPLICATION FEE� <br />: Oif ADDRESS � 7 �� cS�U il� /� <br />TENANT <br />PROPERTY OWNER aC U/e �CJ � G <br />v ft 2�G � <br />ELECTRICAL CONTRACTOR �EG�/ hi C� <br />CONTRACTOR'S ADDRESS ��SL1J .a��� s/ /(/� �>/�?✓�fNS /c�"�)Pc�i <br />CITY ZIP <br />LICENSE N0. ���FIJrD,Z.G EXPTAATION DATE�� .3 9� <br />ADMINISTRATOR �q N/ / Lt i//> . I' PHONE N0. �.3 �} ��S / <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />_ i � �/ <br />USE OF BUILDING <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 />SIGNED: <br />3/27/90 <br />.o <br />� DATE • 6 C� <br />