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j <br /> CITY OF EVERETT <br /> DATE /O 1!, / <br /> ELECTRICAL WIRING PERMIT APPLICATION <br /> FEE o73 cx� <br /> JOB ADDRESS v'"{•3� •j p t'��L <br /> TENANT <br /> PROPERTY OWNER <br /> ELECTRICAL CONTRACTOR <br /> CONTRACTOR'S ADDRESS <br /> CITY ZIP <br /> LICENSE NO. <br /> EXPIRATION DATE <br /> ADMINISTRATOR PHONE NO. <br /> VALUE OF WORK <br /> a n <br /> (for commerical work) (do not include taxes) <br /> USE OF BUILDING Zlowyrle.l <br /> u G44-- <br /> NOTE: Wt- 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved 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 /> SIGNED. DATE: <br />