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x-30rH <br />>H <br />ASH <br />a yxrA <br />[H'�H <br />Ox0 <br />HIV <br />N H <br />O H <br />HMg <br />L] • ,C3O,, <br />9 H z <br />H H <br />y <br />H <br />C) C7 fn <br />�M <br />:z3 0 14 <br />'Oft Ass, <br />� j <br />'•i <br />DATE f Z <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION FEE <br />JOB ADDRESS .1 6 9L s T <br />TENANT <br />PROPERTY OWNER & j r9 o 4 6 "U'd / 6 3 6- 1? <br />ELECTRICAL CONTRACTOR .F 1z. i c <br />.S <br />CONTRACTOR'S ADDRESS - <br />CITY ZIP <br />LICENSE NO. R'/l/'-'�'6 <br />ADMINISTRATOR <br />VALUE OF WORK <br />(for commerical work) <br />USE OF BUILDING <br />EXPIRATION DATE %/3/ &-,Z <br />PHONE NO. / - Q - 42 4 <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional cr 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 issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE% <br />DATE:(— <br />BIGNED: t� /� <br />