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� ' a..''.. -. <br />�:,:.,�: <br />Y' I <br />_� � <br />�t� <br />t,k i � <br />�'� ��t <br />�;,, <br />� i <br />�� �' ' <br />A <br />c:Tx or Eve�err � <br />ELECTRICAL WIRING PERM2T APPLICATION <br />� DATE /-2�-9/ <br />FEE L.! � <br />JOB 11DDRESS �7 �I % o�- FGdC1'�/ �'v2 <br />TENANT <br />PPOPERTY OWNER /� t►1 n�E.IGt D� �M /� <br />ELECPFtICAL CONTRACTOR � w ti er <br />CONTRACfOR'S ADDAESS <br />. . ' ' CITY 2IP <br />-. LICRiSE- N0. � . � ' EXPTRATICN D1�TE �' . . <br />��ADMINISTRATOA � PHONE NO. ��lo�^��{J6S � <br />VALUE OF WORK .¢/ 00 � (do not include taxes) <br />(for co�erical work) <br />USE OF BUILDING ���deKe�P _ _ _ <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />inatitutional or health care facilities 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 />WOAK TO BE�DONE: <br />� <br />U . .J_ ,Q. :.. 7-. La d— �,. „ L w.,-,., 'e , _�,...�_ x — <br />SIGNEI <br />3/27/90 <br />0 <br />DATE: � �z'G � � <br />