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CITY OF EVERETT " - � DATE <br /> ELECTRICAL WIRING PERMZT APPLICATION FEE <br /> JOB ACDRESS � � G� / �,v �YQ I"' <br /> TENANT / <br /> PROPEATY OWNEit ►^//j? �,�� f✓ ��/ � <br /> ELECfAICAL CONTRACTOA �7�/_ �-Q C � /^' � <br /> CONTAACl'OR'S APDRESS // ri C� ''� .�611/�, �� /�� L,�;�✓pv,S � . �''t�S <br /> CITY ZIP <br /> LICENSE N0. ��G/�,L:. �5�� G EXPIAATION DATE /�j'-��� <br /> ADMINISTRATOA �q/-�/ /q�17� r PHONE NO. ��J � �� � � ' <br /> VALUE OF WORK (do not include taxes) <br /> (Eor cammerical work) <br /> USE OF BUILDING i ltix �/� talK/�N l'P.J� <br /> / <br /> NOTEs WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washinqton. <br /> Applicants with euch jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> NOTEe Wiring in non dwellinqs is required to be in conduit. <br /> WOAK TO BE DONE: <br /> � �7'L`� �y' � � i � ...� � <br /> �/T �Dn �� s .� r ✓. ��Q <br /> SIGNED i ��,� /�/ ��� DATE s f ,R S�O <br /> II <br /> 3/27/90 <br />