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� CITY OF EVERETT .; DATE �� `� - y / <br /> �.. <br /> ELECTRICAL WIRING PERMIT APPLZCATION � � FEE_ .�j�" <br /> " uJoslwDxsss . 1�z8 Lov� B;9/� � AVE E �/Ei2E�� l�i/.9• 9�' zp/ <br /> TENANT <br /> �\ PROPERTY OWNER �OP�ERT ,q Go�DEN <br /> � X ELECTRICAL CONTRACTOR C'� (,UN'c/e <br /> CONTRACTOR'S ADDRESS � <br /> CITY 2IP <br /> LICENSE NO. <br /> � EXPTRATION DATE � <br /> ADMINISTRATOR xPHONE NO. ZS��S �Il� <br /> � VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> y USE OP BUILDING >� �Vc;-CF_- �g„�,"Gy ,l��si'DE-NCE <br /> NUTE: WAC 296-46-190 requires that plans, for electrical work at educational, <br /> institutional or health caxe 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: Wi�ing in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> X � �Ew�ov� i Us� P,�ni��- ,4�v� /�F�c�c� w, '�-h 7a� �9� <br /> � SER�� 'c�` P��vE� <br /> SIGNED: /C�(,/ J4 �-�C�QZ�1 DATE: �"1 — �� <br /> ?/27/50 ' <br />