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• .i <br /> 1 <br /> A DATE_-_ <br /> CITY OF EVERETT <br /> C.: <br /> :t- <br /> Hz N ; ELECTRICAL WIRING PERMIT APPLICATION FEE ��� <br /> V yI r JOB ADDRESS # 8 6o T.(/ P1-ACE S• E. <br /> M Z S w TENANT y <br /> �E3 'I PROPERTY OWNER ; Ere Z I-1ot_ <5 <br /> zELECTRICAL CONTRACTOR L �lk ELECrMr� ZNc <br /> y + o o /RK/AtID 98083 <br /> CONTRACTORS ADDRESS �' CITY ZIP <br /> N <br /> M <br /> A d t/: <br /> LICF'JSE N0. EXPIRATION DATE Z 2$h•_z <br /> y ADMINISTRATOR rEKo 1"6166PHONE N0. BB 9- 9226 <br /> VALUE OF WORK (do not include taxes) <br /> ,a <br /> (for comme.ical work) <br /> • USE OF BUILDING ,UEW eES/ArNCF <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> t� institutional or health care facilities be approved by the State of Washington. <br /> Applicants with Fuch jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> NOTE: Wiring in nun dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> r / K SERVICE <br /> A -- <br /> � I <br /> S <br /> SIGNED: �� i/ .f.! A. DATE: <br /> + <br /> d <br />