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CITY OF EVERETT DATE-9-- 2-3-A-1 <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE /.3/ <br /> I Lk 10 <br /> 308 ADDRESS {j '/�� /J�'1 �W_�� 1` I�✓ <br /> TENANT <br /> PROPERTY OWNER 54�-ins P- <br /> ELECTRICAL CONTRACTOR I ALAS, <br /> CONTRACTOR'S ADDRESS `L(nOS `J�::-S�-C-+r�.n) /.V.1y 1J1 I,J,A• C{,�I L( _ <br /> CITY ZIP <br /> LICENSE NO. I Aw S 1a(ID(LK EXPIRATION DATE <br /> ADMINISTRATOR 1kn-r�on PHONE No. <br /> VALUE OF WORK (. Dry (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING ( fOIM.NYIEY-(_d,a-- <br /> NOTE, WAC 796-46-140 requires that plane for electrical work at educational, <br /> • institutional or health care facilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> Of Everett permit will be imaued. <br /> NOTES Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE, <br /> BIGNED, DATE, ' / <br /> a <br /> Wj <br /> lr� <br /> 1 <br /> W J 1 <br /> wmea-_ina,u <br />