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CITY OF EVERETT DATE � IS -�rj <br />O Ci <br />ELECTRICAL WIRING PERMIT APPLICr_70N <br />JOE ADDRESS <br />C <br />TENANT <br />PROPERTY OWNER Sfi•µIL <br />ELECTRICAL CONTRACTOR SnQ�at/L <br />CONTRACTOR'S ADDRESS 2.30 2 Fy,&t4t,TT Ar&I rQ ye te <br />CITY ZIP <br />LICENSE NO. E7@IRATION DATE <br />ADMINISTRATORS rjA/A�/FO/%i PHONE NO. <br />!/ T <br />VALUE OF W^RK�� (do not include taxes) <br />(for commerical work) USE OF BUILDING) C�,gs'S P-dZ}MS <br />NOTE: WAC 296-46-140 requires that plans for elec`_ical work at educ-,cional, <br />institutional or health care facilities be approved by the State of Washington. <br />T.yolicants with such jobs must show the State approved plans before a City <br />Everett permit will be issued. <br />NOTE: Wiring in non dwellings is re=ui=ed to be in conduit. <br />WORK TO BE DONE: <br />�'• GiQs6tA�d'_ 2ocQ , ��t'x/.W=%` s.Ee.:/cGOL — j�/I,twc Ey�Ar-Giv� <br />SIGNED: �,J DA'?'E:t � <br />A <br />2/27/ 9J <br />