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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLZCATION <br />DATG <br />FEE <br />JOB I�DDRESS 7V � �"C/�C/" \ `""� �O <br />TENANT ���_� /IiJ i'�t �L'�� <br />PROPERTY OhNER C s:f _.�L-!� // <br />ELECTRICAL CONTRF�CTOR Q�.0 /V C'� �� <br />CONTRACTOR' S ADDRE55 l� n ri �,� J�y �� ..)'� �^^o-w-�I� ��� <br />� CITY ZIP <br />LICENSE N0. EXPTf2nT20N DATE � <br />ADMINISTRI�TOR PHONE N0. <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING <br />NOTE: WAC 295-46-140 requires that plans for electrical work aY educational, <br />institutional or health care facilities be appruved 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 />��` �7�1 1� C�%2 GC/ I%� � R/� f'2?5���1 <br />SIGNED: <br />3/27/90 <br />DATE: <br />