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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />PROPERTY OWNER <br />FEES/O� <br />/ 1G' // (/" ct <br />ELECTRICAL 0DNPRACIOR I//�y5�/ v f �✓ EG✓ ���L/ �iG— <br />CONTRACTOR'S ADDRESS '�//,%/fit <br />LICENSE NO. T0/f�s6 r/�/y/EXPIRATION DA17- 1__e; r;//- G/U <br />ADMTISTRAIOR 'j&CC/ (i! i`�l� _ _ PIioIE rn. 776G <br />VALUE OF MRK _ S (do not include taxes) <br />(for convercial cork) <br />USE OF BUILDING <br />NCYPE: LiAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs mist show the State approved <br />plans before a Citv of Everett permit will be issued. <br />NOT-: Wiring in non dwellings is required to be in conduit. <br />;-/- --T� <br />SIGNED: <br />12/15/89 <br />DALE /- -- 5� <br />