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CITY OF EVERETT � ^ <br />t 7 <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS � O� <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />isNr✓C,esZ 2 .,.� <br />�L��35 `•� � <br />2�0,� .�iwrL <br />LICENSE NO. l�'��'�SS�..L�/�3 /Lr:� <br />ADMINISTRATOR �%J7v /C j/p'SS//'� <br />/1 DATE —,� ` 'C Q <br />FEE .� .5�� G <br />�✓FZ J` /�I,�/ . -�/�z 0 / <br />CITY ZIP <br />EXPTRATION DATE �a /��/-�/ U <br />__ T� <br />PHON"E N0. ��ly `�� % � - <br />VALUE OF WORK (do 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 £acilities be approved by the State of 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 />Od <br />�-F� 'c� <7_..E..✓� �,.e� <br />,[ ///i,�_ � <br />SIGNED: ✓�l/�'� ���/J� DATE: � d`�'� �� <br />3/27/90 <br />