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. . � ( <br /> CITY OF EVERETT � DATE ����•�d � / G <br /> ELECTRICAL WIRING PERMIT APPLICATION <br /> FEE /,�J Crv <br /> JOB ADDRESS 3 �� � y,_UY ��"C� �/ /T� � <br /> / � �/ � / � <br /> TENANT ,z./,_,�T/ SL Gt �7 �/f� �� C� <br /> n /I <br /> / � <br /> PROPERTY OWNER <br /> ELECTRICAL CONTRACTOR /� �G Nf s/'✓ -�`- /� L����G <br /> � <br /> CONTRACTOR'S ADDRESS i� S' O 5/ ��N � � �P-C� <br /> CITY ZIP <br /> LICENSE N0. /��i���ss Er �.� K c� EXPTRATION DATE � .i� �Q L� <br /> ADMINISTRATOR � iV �vV/J °���� PHONE NO. 1�%�" ��3 / � <br /> VALUE OF WORK G% d 6 �� i � �� (do not include taxes) <br /> (for commerical work) <br /> DSE OF BUILDING J/J �r <br /> NOTE: WAC 296-46-140 requires that plans for electrical worY 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: Wir�.�q in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> /f/er.G�Ps/ S.i�Y✓�G �', <br /> SIGNED: J�-���""� ! v LL�-/f w/�v DATE: � �o � ��� <br /> 3/27/90 <br />