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CITY OP I:VERETT DATG_ �,� - I <br />GLECTItICAL WIRING PERMIT APPLICATIOt7 FEE �j, �Q �' <br />�oa �o�ss .�1 1.,�t� St. �,�,� l3�er�,`N� L�1 a5 �'���Li�uz <br />TENANT <br />PROPGRTY OWNER <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'SADDRESS ��.(,>• .,���� �SS,� µ'Ilpc�lM �I�r}�� <br />CITY ZIP <br />LICENSE NO. �`�ln N� e I� lo I CJ t' EXPSRATION DATE �� �" � I- `I � <br />ADMINISTRATOA �,�tQG.,��S PHONE NO. .�3��' .�•� �% <br />VALUE OF WORK (do not• includc taxc.) <br />(for commerical work) <br />USE OF DUILDING _1�,..� IP <br />_�„ ��� <br />e <br />NO:E: WAC 29G-46-140 requires that plans for electrical work at educaCional, <br />inatitutional or health caze facilities be approved by the State of Washington. <br />Applicants with such joUs mu��'. show the �tate approved plans before a City <br />:�f Everett pezmit will be issued. <br />NOTF: Wiring in non dwellings is tequired to be in couduit, <br />WORK TO BE DONEt <br />i�)(�� i �t�Yl S I�r�.c� i Or� �i.�Q ����.��,�:, �` <br />SIGNGD: ( ) ` ���"��� <br />3/27/90 <br />� <br />D1�1'G: �� ' � �' -1 � <br />