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I <br /> jo <br /> C H <br /> >Hcn <br /> AHC) <br /> It(Hq CITY OF EVERETT DATE <br /> ELECTRICAL WIRING PER24IT APPLICATION ''CE <br /> OH <br /> mayy" n JOB ADDRESS Lo <br /> t y <br /> TENANT <br /> H H _ <br /> 0 H PROPERTY OWNER <br /> ELECTRICAL CONTRACTORtzi <br /> --�/N,+G i�i+.� J�� !O `✓ T'� �� �1/n. / <br /> J N <br /> CONTRACTOR'S ADDRESS - <br /> CITY ZIP <br /> LICENSE NO. ,_ EXPIRATION DATE <br /> ADMINISTRATOR PHONE NO. sV:k <br /> v� VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING <br /> NOTE: 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 /> �- /a�li 1/f0.�d.0. .�c�lfl[..0 cam- ,�.--n L-�... �2 �<'•9•_. , <br /> SIGNEDt t- �J �T �� DATE: <br />