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i <br />CITY OF EVERETT DATE 'a' -/7/ <br />ELECTRICAL WIRING PERMIT APPLICATION FEE; �= <br />JOB ADDRESS —Jog a,a. <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR I.LGL) RIf%ilt��vr ACV II�IT,� <br />CONTRACTOR'S ADDRESS <br />LICENSE NO. 0< F L GC T C. c, U o'� G <br />ADMINISTRATOR <br />CITY <br />EXPIRATION DATE <br />PHONE NO. D" '7?, - _�— <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING 't� 14P:L 4 12 C_C 11s•CyC <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 />k) I k lT, n7 <br />SIGNED: DATE: <br />