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CITY OF EVEIiETT � � DATGT I �"� I <br />; < <br />ELECTIiICAL WIRING PEFii�fIT APPLICATIOt! FEE ��> � � <br />JOO ADDRESS 13� �S� 5� �l✓ l�Ul ��n ��C�n�- LIaNE . <br />TENANT <br />PROPERTY OWNER � �. Y Q �v1 H DVv�e^ `� <br />ELECTRICAL CONTMCTOR `�liv� . �Jnrt� r iWC. <br />CONTRACTOR'S ADDRESS Y�O� .BOX � <br />LICENSE N0. ��l.lv�TC' la(n� �i� _ <br />ADMINISTRATOR j�(�-� ry[y,qWIS <br />VALUE OF WORK <br />(for com�nerical wo=k) <br />USE OF BUILDING <br />� <br />ZIP <br />E%pIRATION DATE �� S- zi -�t a <br />PIIONE N0. � y � � I� <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires tliat nlans for electrical work at educational, <br />institutional or health care tacilities be approved by t)ie State of Wastiington. <br />Applicante with such joUs musl show the State approved plans befoze a City <br />of Everett permit will be issucd. <br />NOTE= Wiring in non dwellings is required to be in conduit. <br />WOiiK TO BE DONEs <br />� 1VC�- ) �Ll�`�'ir"u(�IJi� ,��1' I�n,�o ��-'��i(-1 <br />SIGN6D: �� �..,i _ DATEt �- ��'�) I <br />3/27/9U <br />, , , .. _ � . .,. .... ...... . .... .—.. -.. .. .. . .--*`c� � ... �h�.. .... , , . . , �.. „ . , . ..�.�. .... . . <br />I <br />