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,� � <br />CITY OF EVERETT <br />ELECTRICAL WIPSNG 4ERMIT APPLICATION <br />JOB ADDRESS (� �� � � L�� �� <br />TENANT <br />PAOPERTY OWNER <br />ELECTRICAL CON', <br />- �- <br />DATE� _) f / <br />FEE <br />CONTRACTOA'S ADDRES£ <br />LICENSE N0. _ <br />APMINTSTRATOR _. <br />VALUE OF WORK <br />(for commerical wo <br />UEE OF BUILDING <br />-�r� �-�rr � <br />CITY ZIP <br />EXPIAATION DATE <br />PHON,'s NO. __.� �I (� � � J.��_ <br />(do not incLude taxes) <br />NO2E: WAC 296-46-140 requires that plane for electrical work at ed�icational, <br />• i�etitutl.onal or health care zacillt:iee be approved by the State of Waehington. <br />Rpplicant� with auch jobe must ehow the State approved plans before a City <br />of Eve:ett permit will be ieaued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />SIGNEDa <br />9ATE: <br />