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CITY OF EVk�RETT <br />ELECTRICAL WIRING PERMZT APPLICATION <br />JOB ADDRESS � J Z <br />TENANT <br />PROPERTY OWNER S� cl S l�BY�S OV'�. <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADURESS <br />(� DATE (O—ZZ—�� <br />FEE p6 <br />3.�- <br />LICENSE N0. ELGGGTI �"I� b Q14 EXPTRATIQN DATE '_ Q �- U �- al'S <br />ADMINISTRATOR �c„rI Cr J' i e..% PHONE NO. _ 6/ Z �%�_ <br />VALUE OF WORK ��(� ZS°=- (do not include taxe�;) <br />(for commerical work) <br />USE OF BUILDING _ �lr�c,lcJ �w�.� �c.�S\ U�Q,✓�-� e.. <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 Washingtor.. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett permit will be issuad. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WJRK TO BE DONE: <br />� �I1S��'1 �P �J ZEO K�. ��PnI � S�J"�/l C E- <br />� 12v�n �r,� �_UT '� War.�.� i.,� 13�—Se�J�' <br />uIGNHD: � DATE: �j��ZL -t � <br />3/27/90 <br />