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� CITY OF EVERETT � � DATE �.!'�.7— / � <br />ELECTRICAL WIRING PERMIT APPLICATION FEE���� <br />� JOB ADDRESS / O / C�•.-L i2.c / � � Ii� �/ �i�Y �H �'�D _ <br />. TENANT (,� O ,Q,.I�.��- S � f�..�L /i7 O �J¢ :f�- <br />s <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR J����� �C' �//� C <br />CONTRACTOR' S ADDRESS �cp �� / �S D�� S C eS%�7QA-OH.� � ��q�g� <br />CITY ZIP <br />LICENSE N0. �/�� /IEE �r�- /5�O N� EXPTRATION DATE I� ^/oC_. <br />ADMINISTRIITOR �06 �L�/ L � PHONE N0. � D /" O � / � <br />VALUE OF WORK 2�)�'�� (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING / � <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 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 />� x T.�-,�� � � Q � �. ,� r .�0 2 ��� J�- � G .��'/-� r <br />.�-.risT�v �/ � ) �"...,v �,a' '`� �; x'T'��./z., 's <br />SIGNED: ' � DATE: /�-�� �`Z" <br />3/27/90 <br />