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CITY OF EVERETT � ���� �/ � <br />DATE -y - (� - %p <br />ELECTRI�N WIRING PERMZT APPLICA';ION FEE� 7. � S <br />Jos a��xass /�G Z .S' f, _fUi`'.�'�"T/` /'�'1.a�/ /�,a,- <br />TENANT �/{//J' p .s,%i4c/� <br />PROPERTY OWNER F//�,P_�Tf /✓%/��� <br />ELECTRICIiL CONTRACTOR ///G ///n/ <br />CONTRACTOR' S ADDRESS /Z.S�B- .�_3 /�/E S,E.oti`l,F y�i1y <br />CITY ZIP <br />LICENSE N0. /VO %'Ti •F/'/6G � �' EXPTRATION DATE � �/�%/9/ <br />ADMINISTRATOR ��. �/ii.�q,c�A.K PHONE NO. ,��Z- a/aa <br />00 <br />VALUE OF WORK /73a (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING ,G.+`TOi � ' 5���•F <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 o£ Washington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />TI`/i0 /Y/ I/,'� �F G l�.F//.FN j <br />DATE: � 6 �/G <br />3/27/90 <br />