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CITY OF EVERETT', <br />ELECTRICAL WIRING PERMIT APPLICATION <br />t <br />JOB ADDRESS. — ,Oe� <br />TENANT <br />PROPERTY OWNER .� b G 0 '11 <br />I <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />.© <br />DATE_,Z-.�� <br />FEE 3Sr <br />CITY ZIP <br />LICENSE NO. h1tr�aCUEC/b,�l�Q EXPIRATION DATEi /�- <br />ADMINISTRATOR i/ /iL&.e /�fJ�C DLJ PHONE NO. _ as �- 7'/ `%s <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 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 />WORK TO BE DONE: <br />C <br />SIGNED: <br />i <br />3/27/90 <br />i <br />DATE • /— d 9 "�;7�2_ <br />t <br />