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CITY OF EVEFETT ,,.:.�.: ppmg (�'��� �� n <br />ELECTRICAi. WI�ZING PER3IIT APPLTCBTIC;J FEE G,�, p o <br />JOB ADDRESS l y� z � t-_. F_ �c � E r� � u c rL �,��.� �� <br />TENANT T N L- � �� ,O / Ml �l � t � � <br />PROPERTY OWi4ER (/. W. <br />ELECTRICAL CONTRACTOR <br />CON'1RACTOR'S ADDRESS <br />LICENSE N0. <br />ADMIPIZSTRATOR <br />G�DcOE-/ /2��5 <br />QGV/�. /�l.'Oiu3 <br />EXPSRATION DATE <br />E'J <br />V�C ( vt/�o <br />�-- <br />PHONE N0. �i �� -� / y Z Z ' <br />, _A <br />��VALUE OF WORK � Z O(� 0 ___ (do not include taxes) <br />(for commerical work) <br />GSE OF BUILDING ���_�y <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care £acilities be aoproved by the State of Washingten. <br />Apolicants with such jabs must show the State approved olans befo're a City <br />of Everett permit wi11 be issued. ' <br />NOTE: Wiring in non dwellings is reguired �. be in conduit. <br />WORK TO BE DONE: <br />ll'1�. ��-e A /Z. �/ Clc�t�� G: — — <br />SIGNED: _ _ _ OATE: C _� � ' � <br />3/27/?0 <br />