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I.�, I <br /> .^ � <br /> CITY OF EVERETT DATE �^ �2-JrI <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE /�s �--,/ <br /> JOB MDRESS 3!>0 3 G(/ [�a S� �v o ��/ .�/�/ yQ,y2 Z <br /> TENANT �JD G,iN S C!J <br /> PROPEATY OWNER _ /JyJG/�v4 CU <br /> ELECTRICAL CONT'.�ACfOR ��.� Q�f SG�S.4 G[t T rOe �� <br /> i <br /> CONTRACtOR'S ADDFBSS �JQ �p�( 3�`y �J�.Qq �� ��/4 5��09 <br /> CITY ZIP <br /> LICENSG N0. t_.!J//,ti/-i�( SL I�rC� EXPIRATION DATE _ /-Z9 -_ 9L _ <br /> ADMINISTRATOR //G.VN/S �. ,Q/1'yL� PHONE r,o. 3yz �ss 3 <br /> /07 ."' <br /> VALUE OF WOAK �� �QQ ,�� fdo not include taxes) ,tP� <br /> (for cor�merical rrork) �— <br /> USE OF BUILDING �J ��� r � <br /> NOTEt WAC 296-46-140 requires that plans for electrical work at educational, <br /> inetitutional or henith care facilitiea be approved by the State of Washington. <br /> Applicanta with such joba muet show the State approved plans before a City <br /> of Evurett permit will be iasued. <br /> t70TE: Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> r,� Sf i/ vswt.,� T/ �/�� �,�� <br /> �� t f� r r/ i c e S /d �/�,ti i �i ,-. I <br /> SIGNED� -���y��_ DATEi � Z L - 9� <br /> 3/27/90 <br />