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• �II�S/aiY <br />ELECIRiCAL WIRiD1G PERMIT APPLICATION <br />DATE < < n <br />FEE <br />t9 %,(!!- r✓ <br />city Z o <br />LICENSE NO. EXPIRATIrA DATE <br />AUWTISMATOR — PHONE NO. <br />VALUE OF I9ORK (do not include taxes) <br />( for cmr ercial work) <br />USE OF BUILDING � r C <br />NOTE: SAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the state of <br />Washington. Applicants with such jobs must show the State approved <br />plans before a City of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />".40 <br />SIGNED: // /{ v l��f LIATE 3 ; <br />12/15/89 <br />