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CITY OF EVERETT �� <br />ELECTRICAL WIRZNG PERMIT APPLICATION <br />DATE �� ��_ <br />FEE 3, � <br />Jo$ �D�SS 5 3 i 3 �'�i �' <br />TENANT <br />PROPERTY OWNIIt i / -S C� �� �� <br />ELECTRICAL CONTRA OR � JC . � GG <br />CONTRACTUR' S ADDRESS ��// �js� ��� ' " � �� / d �"v <br />CITY ZIP <br />LICENSE NO. ���(1�iC_ � ��U �v EXPSRATION DATE ' /� �j <br />ADMINISTRATOR y il/, �J CC/�G�iI�fH12.. PHONE N0. ���" �J I/ _ <br />VALUE OF WORY: (do not include taxes) <br />(for commerical work) ' <br />USE OF BUILDING (`i-�� ��� <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 tl��: State approved plans before a Ciey <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be :� conduit. <br />WORK TO BE_pONE: „ ., <br />��� <br />-�T-- <br />�l//� <br />SIGNED <br />3/27/90 <br />�L'/L <br />DATE i /� ��/ <br />