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i <br />CITY OF EVERETT `�" "'" S� U"�'h � p� �� 6 V� <br />ELECTRICaI, WI?tiNG PERt�f2T APPLICATION <br />JOB e1UDRESS <br />TENANT <br />PROPERTY 0'rINER (�Y � �lC-ey (..�r!-✓lS� <br />ELECTRI(:AL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />DATE�� �S <br />FEE <br />LICENSE N0. U.L DS l� G� I�I IIIC � EXPSRATION DATE I� � J I`�� <br />ADMID7ISTRATOR S�`� l�-�, CL�PiLLLlti� . PHONE NO. (� Sy' Q�J� ! ' <br />VALUE OF WORK lp (}(��_ (do not include taxes) <br />(for commerical work) T _ <br />USE OF SUILDING <br />NOTr_ WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be anproved by the State of Washington. <br />Applicants with sucn jobs must show the State approved plans befo`re a City <br />of 'nverett permit wi11 be issued. <br />NOTE: Wiring in non dwellings is reauired to be in conduit. <br />SIGNED: • ' • r !��"u'�%�f DATE: � `�' " <br />3/27/90 <br />