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;a <br />CITY OF EVERETT `, DATE <br />ELECTRICAL WIRING PERMIT APPLICATION FEE: <br />JOB ADDRESS �D9 % Z »� • �/vc. S� <br />TENANT <br />PROPERTY OWNER %7/1'/ 7e- x7 S^yes / <br />ELECTRICAL CONTRACTOR l I /FACD A-1 <br />n <br />CONTRACTOR'S ADDRESS f V. (J D Y ti 0 3 (C �7vuNam-rD ��0 �i k+ <br />CITY �i ZIP <br />LICENSE NO. F_IFC TFC 16(9'TF EXPIRATION DATE' -3 <br />ADMINISTRATOR /•DCPiI Oe),eIPAA PHONE NO. 729 Si55S <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <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 />WORE -0 BE DONE: C <br />SIGNED: ;ltXy( ' ,, DATE: �� Z/ —/ <br />