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CITY OF EVERETT <br />ELECTRIGIL WSAZNG PEAMIT :3PLICATION <br />JOB AI7DRES5 <br />TENANT <br />PAOPERTY OWNER <br />� D / - /�� �� `,�. <br />nnze d ' S � <br />FEE � ) G U <br />ELECTRICAL CONTRACTOi:��`��C�• ��iJ:(--f/• <br />G`Y �.._" <br />/ <br />CONTRACTOR'S AOOAE55 _ <br />LICENSE NO. <br />ADMZNISTRI�TOR <br />ZZP <br />E%PIRATIO� DATE <br />PHO:VE N0. ) l y L 7 %� <br />VALUE OF WORK � (do not include taxes) <br />(for commerical work) - <br />USE OF eUZLDING <br />40TE: WAC 29F-46-140 iequizes that plans for electzical woek nt educational, <br />iastitutional or health care facilities be approved by the State of washinnton. <br />App?icants with such jobs must shuw the State appcoved plans before a City <br />of EvErett permit will 6e issued. <br />NOTE: Wiri:3 in non dwel'_ings is required to be in conduit. <br />WOAf: TO BC DONE: <br />SIGNED: L i� - l' .� ���U•,!/L�tfil� DATE: •�.� � <br />, 3/27/90 <br />