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:, <br />CITY OF EVERETT DATE �I �/Co-9C1 <br />ELECTRICAL WIRING PERMIT APPLICATION FEE� <br />JOB ADDRESS 13� I E�'erc� r�R�� �� �Cve.-z%i i�oll /�/nzu. )�v� re� ��.^�^> <br />Tsr�ar�T C� 1.'�v � C�: �i.�•-, Re�-�-.,..��.-�- <br />FROPERTY OWNFR �r'rr�o�: t�iiit.J /Y..�C�>UO/`�S /�i'� 'S�i'�rG�u., Cl\. � �. �� IC�C`� A; ��c <br />1 � <br />ELECTRICAL CONTRACTOR � ?�� ���C:�,� /i:�, <br />CONTRACTOR S ADDRESS ' � <br />� ., (, ��C jJ � u �1-.v�2�: �6, � ..-� StF:� <br />CITY ZIP <br />LICENSE NO: � S EL, E Z�F i 31 P 1 <br />ADMINISTRATOR O�,v�ti�, 1t��/ � b �— <br />� <br />VALUE OF WORK <br />(for commerical work) <br />USE OF BUILDING � .Q,����- ¢y�_� <br />EXPIRATION DATE <br />PHONc N0. a(`� � �Q-,Z - {j�'C29' <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health •,are facilities be approved by the State of Washingcon. <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 />1n � �q��� �arr �.� �i; <br />SIGNED: <br />3/27/90 <br />� <br />s <br />DATE : �� ��i %G <br />