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1 <br /> CITY OF EVERETT LATE <br /> ELECTRICAL WIRING PEMIT APPLICATION FEE <br /> JOB ADDRESS Z? /� J I S i �•L� <br /> ' TENANT 0( lrC:f,l 1-.YG79 5561 <br /> PROPERTY OWNM SA 2; c _ <br /> ELECTRICAL CONTRACTOR �" e , I <br /> CONTRACTOR'S ADDRESS IC ! - IU 0 ✓I JL I•. JJi�G C �JT.T / G <br /> CITY ZIP <br /> LICENSE 110. )1e)D1 1 9 C / EXPIRATION DATE J� - <br /> ADMINISTRATORk R �� PRONE NO. �S—cJ•�J'�]f <br /> i ~ <br /> VALUE OF WORK _ (do not include taxes) <br /> (for commerical work.) <br /> USE OF BUILDING r <br /> NOTE: WAC 296-46-140 requires that plans for elect-rical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> ADDlicsnts with such jobs must show the State approved plans befdre 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 /> d•j/ 1L( Yl V' tvl-kvS I A)v <br /> I <br /> =TED: '�- ° DAM <br /> • ]/27/90 <br /> '` i <br />