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_� <br /> � � M r .ti <br /> ro CITY OF EVERETT DATB � � 73 7�1�' <br /> p � FEG 7 fc�4.- <br /> 'I � y GLF.CTRICAL WIRZNG PERIdIT APPLICATION <br /> cp, � <br /> rt y �7 ' <br /> p� �d � .IOB ADDRESS rXoZ.0 2 �.�%L�� � ��+• <br /> r <br /> {p � � TF:NANT '�i�fn ` <br /> � f7 PROPERTY OWNER ���k ✓� �� <br /> � �tl <br /> E H ELECTRICAI. CONTRACTOA ,Oh�lY 1 — <br /> � N <br /> � tly CONTRACTOR'S ADDRE55 �ITY ZZP — <br /> WM � LICENSE N0. EXPZAATION DATE <br /> O N 7 <br /> ADMINISTRATOR PHONE N0. / � `� � l' �3 5 '� � <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) � ' <br /> USE OF BUILDING ��F1.2� -S�� <br /> NOTE: WAC 296-46-140 xequires that planr; for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. i <br />� Applicants with sach jobs must show the State approved plans beftire a City . <br />� of Evexett permit will be issued. I <br /> ��� . , .. , • �� <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> 1 � WORK TO BE DONE: II <br /> I ��� � <br /> �I f �� ��_ ,'° « _ r <br /> - --P , <br /> I �� - <br /> 1���� <br /> � '�� SIGNED: �, . !_r ��. ,� /•7. — DATE: �-.2 �'3�' <br /> ��� ' <br /> \��� <br /> 3/27/90 <br /> .',R,GY.i;;.•,;i.:•. � . . . � <br />