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CITY OF Em=E <br />-ELECTRICAL WIRING PERMIT APPLICATION <br />DATE /- 7 - i / <br />F_ y7 s <br />L <br />SOH ADDRESS <br />TENANT <br />G 1dN <br />/✓ <br />PROPERTY OWNER <br />C G <br />ELECTRICAL CONTRACTOR <br />Q St <br />- /J <br />`" ��Z-U / <br />CONTRACTOR'S ADDRESS L O (�J /! <br />�y <br />.. <br />CITY <br />y <br />LICENSE NO.IKA �%✓S �-f�/ .jJ � � LL- <br />CZIP <br />- �� 3m-AATI6N O- A <br />k( <br />ADMMISTRATOR P©7✓ ",Y-4jL.Ll <br />PsONE NO. <br />VALUE OF WORK 4, 7Q4-) y (do not include taxes) <br />(for commerical, wort) <br />USE OF BUILDING e-rC ,, "v <br />NOTE: WAC 296-46-140 requires that plans for <br />elec = cal work at educational, <br />institutional or health care fac"it_es <br />be approved by the State of Washington. <br />Anclicaats with such jobs must show the <br />State annroved Plans before a C-ty <br />of Everett permit will be issued. <br />NOTE: Wiring in non d-ae l ngs is required to <br />be in conduit. <br />WORK TO HE DONE: <br />/A/ h // <br />SIGNED. <br />3/27/90 <br />DATE: / - 7 - f / <br />