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� <br />CITY OF EVERr^.TT <br />DATE <br />ELECTRICAL WIRING PERMIT APPLICATION FEE <br />� Jos ADDRESS 3�dg l-o.�z��� A�cx�ue <br />TENNIT <br />x PROPERTY OWNER � Cl�� , C� • �.r^9.�`�e, <br />%`.� ELECTRICAL CONTRACTOR (�%) �",-0 r <br />� CONTRACTOR'S ADDRESS <br />CITY ZIP <br />LICBNSE N0. EXPTRATION DATE� <br />ADMINISTRATOR PHONE N0. �/-S�.-C�o`7.`pi.� <br />VALUE OP WORK (do not include taxes) <br />(for commerical work) <br />X USE OF BUILDING S;�1P � L�L.,r�I:a _ <br />� <br />NOTE: [�AC 296-96-190 requires that p!.ans 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 Cit; <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellinqs is required to be in conduit. <br />WORK TO BE DONE2 <br />X_�! aC�w GC ACf 'fs'� f� �1LN� __ -.. <br />f <br />SIGNED: <br />3/27i 90 <br />�nT�: ,/ / �- 9/ <br />