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CITY OF EVERETT DATE � S -(% <br />EI.ECTRICAL WIRING PER:dIT \PPLICATION FL� ;�j� � <br />JOB ADDRESS G�/ � �PvP� 3Y N�Gt�� <br />TENANT <br />PROPERTY OWNER �{I y N C..� R�'r/ <br />ELECTRICAL CONTRACTOR Q W y+�r <br />CJNTRACTOR' S ADDRESS Z 4'/ U /�e r H�I S�� �L.. t/� �i%'2 0� <br />CITY 2IP <br />LICENSE N0. <br />ADMINISTRATOR <br />VALUE OF WORK <br />(foz commerical work) <br />USE OF BUILCING <br />EXPSAATION DATE� <br />PHONE N0. �37 ���yl <br />(do not include tax.$) <br />PIOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities Le approved �y the 5=ate of Washington. <br />Applicants with such jobs must show the State approved plans bef�re a City <br />of Everett pezmit will be issued. <br />NOTE: Wiring in non dwellings is required to be i� conduit. <br />WORK TO BE DONE: <br />' /�Tl�� Sf �- <br />SIGNED: ,iJ�� /(_ C�y„�, <br />� <br />3/27/90 <br />DATE: N^ S ' �O <br />