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a <br />�.. <br />CITY OF EVEISETT '. <br />DATE-'i7Cr-�`—'.i <br />� <br />ELECTRZCAL WIRZNC PERMIT APPLICATION � FEE <br />Joe annness � ;� ��U� � � � `� T �G <br />TENANT (,��UNL-4�L(J <br />PROPEATY OWNElt � � <br />F:LECTRICAI. CONTRACTOR c --/Ei�E�gjE!{� <br />CONTRACI'OR' S ADDRESS ��I �� f- I� J�< '� �� .J � ��/J �IC� CF7��� Z <br />CITY ZIP <br />LICENSE NO. <br />ADI �iN ISTRATOR <br />VAGI;E OF WO[iK <br />(for commericel aark) <br />USE OF BUILDINC <br />E%PTAATION �ATE� <br />Pl10NE NO. <br />(do not include taxes) <br />NOTS: WAC 236-4fi-140 requlres that plana for electtical work at educationel, <br />institutional or heelth care facilitiea be epproved by the Stete of Washington. <br />Applicenta with euch joba muat ehow the State dpproved plans hefore a City <br />of Everett permit will be isaued. �• <br />NOTE= Wiring in non dwelllnys is required to 6e in c�nduit. <br />WORK TO BE DONE: <br />� TI , . f � � '.�,_ y- <br />_ '�f c <br />SIGNED: <br />]/27/�JO <br />DATE: � // <br />