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CITY Or ZVRRSTr <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR ©wn/ Q?2 <br />DATE i -/o /e/ <br />FEES <br />CONTRACTOR'S ADDRESS <br />CITY ZIP <br />LICENSE NO. <br />ADMINISTRATOR <br />EXPIRATION DATE_' <br />PHONE NO. <br />[rnv�O Da <br />VALUE OF WORK uvy — (do not include taxes) <br />(for commerical work) , <br />USE OF BUILDING /100TJ d I? 95VC0496 C fA---T <br />NOTE: WAC 296-46-140 requires that plans 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 issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />Rc- <br />IeE.ctor7C- .<S f/oi✓ . W/RG <br />R- ouTpoo,PA kVA04,/c.-ri✓ uNaT <br />SIGNED: <br />3/27/90 <br />DATE: / 04 <br />