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i. <br /> H30 H <br /> p S <br /> 9HL• <br /> H t H CITY OF EVERETT 1 DATE / 1 <br /> t! n <br /> �y7a� FEE 85.00 <br /> �y ELECTRICAL WIRING PERMIT APPLICATION -- <br /> yH <br /> X <br /> Hp <br /> H�t i JOB ADDRESS 14 Gov, FI,. 5.:.. <br /> H DI TENANT 51.11CP Ht't-:FS <br /> P y PROPERTY OWNER - 5F1,F:C'P <br /> H H <br /> C V7 ELECTRICAL CONTRACTOR i, hi.F(7Pi<f C C:C. <br /> O H <br /> otym 1, ,4.,4 r:1RKTd.PID X909s <br /> CONTRACTOR'S ADDRESS F.( .(.'f. CITY ZIP <br /> HCOO <br /> LICENSE N0. fA:F7,i•.I'1n�:C'� _ EXPIRATION DATE <br /> ADMINISTRATOR 'PFJ.) I?AGF:it <br /> PHONE 110. Ra(�CJ226 <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDiVG nl•.: I UI':+(,i'. <br /> 140TE: WAC 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 /> 200 AMP 3EHVICF. <br /> 111.7+: HF:;IUE;Cf•. <br /> 'I'-STAT —. <br /> SIGNEDt Q � DATE: //113/9/ <br />