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f <br /> DATE <br /> CITY OF EVERETT �/�/ <br /> ELECTRICAL WIRING PERMIT APPLICATION If<E�E.�=� <br /> .100 ADDRESS 1UiD RCS('• S�- 5 u ' �K"I G �lQ` -�` — <br /> TENANT d%NVG l lIlb'L4 C %.A I.1'1LLL11 <br /> PROPERTY OWNER <br /> ELECTRICAL CONTRACTOR 11t.� <br /> CONTRACTOR'S ADDRESS a I•]3 "`A P( S x/11 -� i,IJa ��'S'='11.x- . <br /> TY air <br /> LICENSR 110. ffS1).S:J .1`�9/ 1�l'i SXPIMTION DATE �nt `J�� <br /> ADMINISTRATOR PHONE N0. 7('/r •(6, I&q <br /> �1� 7 _ <br /> VALUE OF WORK /7 !•E� <br /> 57 (do not Include taxes) <br /> (for commerical work) <br /> USE OF DUILDING <br /> NOTE NAC 29L.-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 allow the State approved plans before s City <br /> of Everett Permit will be issued. <br /> NOTEI Wiring in non dwellings to req iced to be in conduit. <br /> WORK To Be DONEI <br /> BIONEDI <br /> DArEI <br /> . y <br />