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y.� <br />r-i <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER 13 n J' S L h S nr\ <br />ELECTRICAL CONTRACTOR /� c� Aal_ /1J J-r ^ �'-- C <br />DATE <br />FEE <br />l' T <br />CONTRACTOR'S ADDRESS ZI -,- V h r- ^ �� �J LJ O ,l <br />CITY ZIP <br />LICENSE NO. %� i I" 6 / j EXPIRATION DATE S <br />ADMINISTRATORG c / cg"� i, l -� D n PHONE NO. <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />^� <br />USE OF BUILDING n <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 />ry1 A� <br />SIGNED: Z.z I� DATE: C <br />