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f <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />ccc.Pt" <br />P_«+ <br />PROPERTY OWNER PA iy F_ L <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />2 2.V, ST <br />A Ca 2 rzE,2 <br />i4 CA/ZTE/L <br />DATE 9—/=�7 <br />FEE=_ <br />CITY Z�— <br />LICENSE No. <br />EXPIRATION DATE' <br />ADMINISTRATOR <br />PHONE NO.� <br />VP-,UE OF WORK <br />(for commerical work) — (do not include taxes) <br />USE OF BUILDING /� cS'i D Enl T/ A L <br />(_ fio erSE) <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 Citv <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 />/nq✓f- L.i .2l-/ O V. 3 G.f//lE ScrPP<y A.vD SE/�ViCE �AnIF[ <br />'CEP�.AcE E.x/rT�n/4 .oca <br />SIGNED: <br />DATE: <br />