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��� .... _ <br /> � Ht~ii � W <br /> ��y+� DATE / .3a �o <br /> CITY OF EVEAETT 2 r�� <br /> ��� ELECTRZCAL WIRING PERMIT APPLICATION rEE__�1s� <br /> H � J�y <br /> p�d JOB ADDAESS ✓/ U Z �'r'�u�'°.� /� � <br /> C) �p�C) TENANT �� � U,R��J <br /> y PROPERTY OWNER ���" <br /> ZH � <br /> � w y � J ��'�9,�,.�--�_ — <br /> ELECTRICAL CONTRACTOR <br /> g �� p �ry �,,� �s�s-� <br /> � � CONTRACTOP.'S r�oasss �752` �"'_ �3.5� f'-"�`> <br /> CITY ZIP <br /> O tA 7/��/�/ <br /> LICENSE N0. -���(fACZ6S/3 � EXPIRATION DATE _ <br /> �I2F�tx�� g�. , �!Cu��z PHONE NO. � y`"� � Z z�-3 g�� <br /> ADMINISTRATOR � <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING <br /> NOTE: WAC 29G-96-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> ( �'� of Gverett pe: ..it will be issued. <br /> I �'. <br /> , � i NOTE: Wiring in non dwellings is required to be in conduit. <br /> i <br /> ', `�, WORK TO BE DONE: <br /> � 2ao/( �p �o.au.P� � <br /> I _� <br /> ��� <br /> ' ��,�1 - �Y11LQ.a.�+,�� 0"'_..-.�- DATe: � / ,3;�f c� <br /> i SSGNED: - <br /> LI_l <br /> 3/27/90 <br /> t,*i. _ - ... <br />