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CITY OF BVERETT � � DATE <br />ELEC?'RICl�L WIRING PEAMIT APPLICATION FEI; <br />JOB ADDRESS _ �1s0`� � _✓" '� �� /"'�C� �1�• <br />TENANT �• <br />PROPERTY OWNEA %l ` �` N� <br />ELECTRICAL CONTRACTOR (-�Z[7 SS/ � <br />CONTIiACTOR' S ADDRESS d' ���` � � <br />LICENSE NO.��/�s SG`'�S3 /'"�� <br />ADM?NISTRATOR (/Q �'II ( �S! n� <br />��.C�i�VI, � <br />�, S .1,�/ � ��G�N• �6 'l�' <br />C TY � <br />EXPIRATION DATE�� .Z ` Z <br />PHONE N0. .3 � � �3 � <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />,/J i <br />USE OF BUILDING //� ( .P�1� � �-- <br />NOTE: 4tAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilit±.es be approved by the State of Washington. <br />Applicanta with such joba must ahow the utate approved plane before a City <br />of Everett permit will be ise�ed. <br />NOTE: Wiring in non dwellings ie required to be in conduit. <br />WORK TO BE DONE: <br />SIGNED e � ��'wN�� <br />3/27/90 <br />DATE: � `A �' �l <br />