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CITY OF EVERETT � DATE /,�1.� O <br />� � � /' <br />ELECTRIr�L WIRING PEAMIT APPLIC�TION FEE �") c� <br />JUB ADDRESS f"`j� ( �v��(l r`d /�IR' <br />TENANT <br />PRQPEATY OWNER �,F��''% �OL.(�:.P,O �dn.IS%n.N e.��� <br />£LECTRI:AL CONTRACfOR <br />CONTRACTOR'S ADDRESS <br />- �f � 1 � *Z l„I <br />LZCENSE NO. ��7STSC- I � � v� � <br />CITY <br />� �EXPPRATION DATE <br />/� <br />ZIP <br />ADMINISTRATOR ��LG�'ij-G{�c.` � pHONE NO. '� �� - 3 Ss2 - <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING /y/= ,S ID,�JC�_. � ST- �� <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities 6e acoroved by the State of washinqton. <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 reauired to be in conduir. <br />WORK TO HE DONE: <br />� <br />SIGNED: <br />3/27/50 <br />/G 6 C'�-;� • <br />-- � <br />DATE: � " L�G <br />