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ram+ <br />CITY OF EVEREPP Aw <br />ELE=CAL WIRIlOG PERMIT APPLICATION <br />6&-ArE S - a/- 70 <br />FEE 519 W- <br />JOB ADDRESS %lam 3U L=vL:lZJ�ct_N rty <br />TENANP (jL i4 �! •= r2 }1tJ w • .o� L /!.✓� S <br />PROPERTY OWNER <br />ELECTRICAL ODMWMR /7 G crh AJ 5 < < E i /t' i < <br />NNTRAC OR' S ADDRESS SG a 5 d v A-49 !l✓F L dE/jE %% <br />LICENSE NO. i''lQ� I IiN Ch/ /?7//+ 3 A'i' EXPIRATION DE /" <br />y� <br />ADKDTISTRATOR J/u `!F/f� JiitilOc`R P-mif. N0. � �� / 7 7c7 <br />VALUE OF MW ) 7eJ) (do not include taxes) <br />(for cammscial work) <br />USE OF BUILDING 5741?,'j'2 TiON 5 <br />NJTE: S\TPZ 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs mast show the State approved <br />plans before a City of Everett Permit will be issued. <br />NOM: Wiring in non dwellings is required to be in conduit. <br />I~ V� WORK TO BE DONE <br />... J <br />5774.IiJ2e <br />�e <br />i <br />SIGNED: 6014, ��.x.�'-�- DMIE 3- <br />12/15/89 <br />