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�` � � <br />CITY OF EVERETT � DATE /- Zy- 9-Z <br />afJ <br />ELECTRICAL WZRING PERMIT APPLICATION FEE _�)� <br />Jos annxxEss 6�/6 /��ti.(/o�./.¢ <br />TENANT �he✓F .�S'%-Y�%H� <br />n �� S <br />PROPERTY OWNER �JEN ��E,�'�6�°T �JJ` Zb �O 3��� �/ F E✓r,�rf 9`J�20 $ <br />ELECTRICAL CONTRACTOR [�J.t//TEO �LF_G'iM'�L C��✓7X.00/O�' -f-�y�✓ <br />CONTRACTOR'S ADDRESS <br />LICENSE N0. l�.I�ITL¢EG/�J'�./'1l. <br />ADMINISTRATOR l:�E/t%f}C!Y/i/y/7E,fi <br />� <br />EXPTRATION DATE� <br />PIfONE NO. <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILUING /�,ES/OL�A/NE <br />ZIP <br />NOTE: WAC 296-46-140 requires that pla�s :or electrical work at educational, <br />institutional or health care faci:'ties be approved by the State of Washington. <br />Applicants with such jobs must sh•w `he State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to he in conduit. <br />WORK TO BE DON�: <br />E-x�.�o Ex.s:i.�� Pur�'P l°i�c�r7' io ,{/,�c,i <br />N irf0 l��ii: /�iC.i. I/T ��7` C/J.�is.� 1/ T/P� <br />SIGNED: �C// ��� <br />3/27/90 <br />DT+TE • � i�-� — qZ- <br />