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. , � ,,.:K, <br /> ::. ; <br /> y.. . <br /> ., <br /> �� CITY OF EVERETT DATE � /� / <br /> 1 <br /> / <br /> ,:.,j ELECTRSCAL WIRING PERMIT APPLICATION FEE �S <br /> ,� <br /> s� �IOB ADDRESS / /f� f D�"' " �� <br /> .; TENANT / !Y��!��I� / �t )I'M <br /> PROPERTY OWNGR ��., /'/� <br /> `,; ELECTRICAL CONTRACTOR ������l� <br /> � CONTRACTOR':i ADDRESS I(J �� l���/ LlG1 )p�V�/U � <�j'J' /(�/�S� - <br /> CITY ZIP <br /> � LICENSE N0. />��9/,c� EXPTRATION DATE � � , / � <br /> -1 <br /> f-j ADMINISTRATOR ��'�D� �/ � �/�"(_ PHONE N0. <br /> � ` <br /> `��+, VALUE OF WORK (do not include taxes) <br /> ;� . (for commerical work) <br /> :� �/� <br /> a USE OF BUILDING �j'�%T ` <br /> �� <br /> a NOTE: WAC 296-46-140 requires that plans for electrical work at edi:cational, <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 /> woxx .o a�; cor��: <br /> ��r�� f7L�`��f��� C�l�"� �`f�� ���R�/�/� <br /> ,� <br /> , <br /> ; <br /> J � � <br /> `�/,'� �' i.i'�' J� ',' � �� �� �� <br /> SIGNED: /C/ �� !�_.� L (/ � DATE: � � <br />