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CITY OF EVERETT � � <br />ELECTRZCAL WIRING PERMIT APPLICATION <br />JOB ADDRE55 � O <br />TENANT <br />PROPERTY OWNER <br />ELEGTRICAL CONTRACfOR <br />CONTRACTOR'S ADDRESS <br />�✓Ge sv 2 �,_<,(S� <br />L���-��s..� <br />LICENSE N0. l�'��5'SS�.L���•i iLr:(.i <br />ADMINISTRATOR �AJIJ ./ L I��✓� r /� <br />� . DATE � --,1� f `C Q <br />u <br />FEE � S` � <br />�� ��rvL c� <br />�✓?.? � �N • -�1�2 � / <br />CITY ZIP <br />EXPTRATION DATE _ ���lf U <br />PHONE N0. ��J `�'��l � ' <br />VALUE OF WORK (do not include taxes) <br />(for co�erical work) <br />USE OF BUILDING _ _ // .{'SL 6'W��-P/ <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 �erett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />� <br />d�/c,.�i w" r�Z.�f�-✓�'�i <br />SIGNED: J��v� �` l'J��1`�� <br />3/27/90 <br />DATE: � - � % ( % U <br />