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A in.nr� <br /> i"M /.•q <br /> JD <br /> >HvA <br /> H Ex <br /> K CITY OF EVERETT DATE (� 9 <br /> N ELECTRICAL WIRING PERMIT APPLICATION FEE <br /> HrA <br /> NC JOB ADDRESS 8 G -t� ��A <br /> �� TENANT LGy'L/ /,✓G - <br /> HPROPERTY OWNER <br /> � y ELECTRICAL CONTRACTOR Ale, / <br /> M <br /> AbN � <br /> C(-+ <br /> CONTRACTOR'S ADDRESS �D �c}! //O 'J �C"dc.4�r�T �8L e, G <br /> H N CITY ZIP <br /> H OCA <br /> LICENSE NO. EXPIRATION DATE <br /> ADMINISTRATOR PHONE NO. AS-? P6 J 7 <br /> 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 /> i Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issLed. <br /> �. NOTE: Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> LI <br /> SIGNED: ?G/ �-C'�y✓�i� PATE: 9/ <br /> T <br /> 1 <br />