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CITT OF EVERETT DATE /, -� <br /> � D�� <br /> ELECTRICAL WIRZNG PERMIT A.�PLICATION FEE�_ <br /> JOB ADDRESS � �0 7 (�4./p ,� <br /> TENANT _ f�4�( �PS�Oh <br /> PROPERTY OWNER ���� /�/Pcf��.-i <br /> ELECTRICAL CON�.'RACTOR N� f_��i=r/�i�'[c / l':���sl'[f o-. .1L. c <br /> CONTRACTOR'S ADDRESS /V O �,Zx .� 5��7 �r�i'�w fvs-� �'J'6�e.� � <br /> Nw.EL t'CT//O �A CITY ZIP <br /> LICENSE N0. EXPTRATION DATE ' _��- `'j� <br /> ADMINISTRATOR C/•.:�/ir �' /yc���., PHONE N0. q ,�J=6',�/, <br /> VALUE OF WOR;C (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING �PS.'GI.�.-��t <br /> NOTE: WAC 296-46-140 requires thst plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> Applicanta with such jobs must show t:ha State approved plans befoze a Ci!y <br /> of Everett permit will be issued. <br /> NOTF: Wiring in non dwellings is required tn be in conduit. <br /> WOAK 1'O BE DONE: <br /> /�.<' Qia�� �.t'iviir �OCJc..�.� l� .�UG� G��. <br /> TO � •� <br /> SIGNED: ��.�� Jj /�•ut DATE: �p7 "/D �Jr� <br /> 3/27/90 <br />