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i <br /> 4 <br /> DATEL V v <br /> CITY OF EVERE71'" <br /> xyx O H ELECTRICAL WIRING PERMIT APPLICATION <br /> FEE <br /> 9 H <br /> JD y En <br /> xx JOB 1)DDRESS <br /> C9 �r <br /> y z z TENANT <br /> C <br /> O S O PROPERTY OWNER <br /> HAl <br /> y y t' ELECTRICAL CONTRACTOR <br /> z <br /> H C CONTRACTOR'S ADDRESS J `IA' ilI/ h rC <br /> Y � <br /> Z <br /> OHMO / i-/y <br /> O` o , i EXPIRATION DATE <br /> 2 h+ LICENSE NO. Nt n) 1 h I / <br /> PHONE NO. <br /> Hy ADMINISTRATOR <br /> C7 G) <br /> o U VALUE OF WORK (do not include taxes) <br /> C' (for commerical work) <br /> hH] O [o 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 /> Applicants with such jobs must allow the State approved plans before a City <br /> of Everett permit will be issued. <br /> o� NOTE) Wiring in non dwellings is required to be in conduit. � <br /> WORK TO BE DONE: <br /> I IU <br /> SIGNED: __ DATE: <br /> ---, �'L -r i v <br /> 3/27/90 <br /> T- 11 <br />