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� <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />,� DATE1 / I <br />/� FEE� 3��V <br />6 a •oa <br />TENANT Y?��P.f�/�' O� L/'fit''� <br />PROPERTY OWNER /�'I�,�/iJ,� (�tJrF�ir'�/ � <br />ELECTRICAL CONTRACTOR L'(PC't2 �'�l-I KJ/.0 (' S� Crl.[�i�.�i��U.�S 2w�• <br />CONTRACTOR' S ADDRESS 1� 90 il� /iI.✓�99 $�rii E � Y���i✓GLYf� (.(i�' 4�� <br />� ITY ZIP <br />i,ICENSE NO. ELE�7EC %6DS� EXPTRATION DATE � _ <br />ADMINISTRATOR ��(,tcAl �p 2�_ PHONE NO. �7 C� — O�S � <br />VALUE OF WORK ido not include taxes) <br />(for commerical work) <br />USE OF BUILDING„(� <br />NOTE: WAC 296-46-140 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 thP state approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in aonduit. <br />WORK TJ BE DONS: G o o'�'^�,� <br />o? %�eYh�G�/�.4! .Se2u/Le S oh S�r��= ���TPcto.e. TiC��`��'�60�, <br />� � <br />SIGNED: <br />3/27/90 <br />✓1� �- r� G�ll f�,9e )� <br />��, <br />DATE: / <br />