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CI^.'Y OF EVERETT r, <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />� ��� G V l:y �-l7 I I v� W <br />/,* DATE <br />Scs� � �2.L 6 �P � <br />FEE 13 L. 3'� <br />EI.ECTRICAL CONTRACTOR �LJ�,�-�'t�l.,� "v CGI..ICCI�IC.k�._. <br />CONTRACTOR'S ADDRESS Z�IS S� c.1/c�-IL�✓V C��TZ� -IY7I`�I�`{" <br />' � CITY ZIP <br />LICENSE N0. � J:�� i�--ZC�Z S/� .. E%PSRATION DATE �% — 3 S��I I <br />ADMINISTRATOR cl ( f� /l� FF��LC,y <br />��UE oF Wo� � 532"' <br />(£or commerical work) <br />USE OF BUILDING <br />� L <br />PHONE N0. �ZQ' ��8�� " <br />(do not include taxes) <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 the State approved plans befo`re a City <br />of Everett permit will be is.^,ued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO HE DONE: <br />.. I��t�o��9-Z,G L� C7 �-1 i S. /\'�r.� �� L( � 1-� �� <br />� <br />SIGNED: � � I DATE: S O <br />3/27/90 <br />