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CITY OF EVERETT ,._� <br />ELECTRICAL WIRING PERh1IT APPLIC<1TION <br />JOB HLDRESS <br />TENANT <br />PROPEATY OWNER <br />ELECTRICAL CONT <br />CONTRF.�TOR'S AC <br />DkTE V�� - � ( <br />FEE �Ci' DO <br />CITY ZIP <br />LICENSE N0. EXPTRATION JATE' <br />ADMINISTRATOR ?HONE NO. ���(� -�3�� j <br />VAi.UE OF WORK (do not include taxes) <br />(for commericai work) <br />USE OF BUILLING , �,�� �J'p-(t2Q <br />n <br />NOTE: WAC 296-96-140 �eauires that plans for electrical work at educational, <br />institutional or health care facilities he anoroved by the State of Washington. <br />Applicants with such jobs must shoH the State approved plan� before a City <br />of Everett pezmit will be issued. <br />NOT!': Wir.ng in nan dwellings is requir_d to be in conduit. <br />WORh TO BE DONE: <br />SIGCIED: <br />, 3/27/90 <br />DATE• - <br />e <br />