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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS q/ 7— 7CkiN�SW <br />TENANT �p� /�, �21-Z('� t(J <br />PROPERTY OWNER <br />ELECTRICAL NNTRACTOA <br />CONTRACTOR'S ADDRESS <br />DA.'E / .J <br />FEE ;Ifs, <br />L111C w4Z- (.,ll 1 7, VF N�:- <br />LICENSE I.O. T( <br />a+/ L== 9,/ <br />ADMINISTRATOR C1C ' T/� L)=)1=0— <br />EXPIRATION DATE 2 `_ <br />PHONE NO. Bnes <br />VALUE OF WORK (do not include tares) <br />(for commerical work) <br />USE OF BUILDING <br />NOTE, .1AC 296-46-140 requuos that Fans for electrical work at educational, <br />institutional or health care facilities be approved by the F.tate of Washington <br />Applicants with such jobs must show t).e State approved plans before a City <br />of Everett permit will be issued. <br />NOTEe Wiring in non dwellings is required to be in conduit. <br />SIGNED, <br />DATE, A /S L <br />i <br />