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10 <br />DATE / - 1 P' r/ <br />CITY OF EVERETT <br />'} UO <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE JJ� <br />JOB ADDRESS /��yo W M�!n N��� fld� <br />L-VT i/✓/ <br />F3 <br />TENANT <br />9 y <br />PROPERTY OWNER SY D j P <br />-- <br />H <br />H> <br />ELECTRICAL CONTRACTOR <br />9xx <br />�3 <br />CONTRACTOR'S ADDRESS <br />_T <br />CITY 7IP <br />y <br />0 xO <br />N H <br />EXPIRATION DATE <br />H <br />LICENSE N0. <br />``.7' <br />36� zo 7 <br />OH <br />ADMINISTRATOR <br />PHONE NO. <br />ttyy <br />iZiCO'fO <br />300 ou (do not include taxes) <br />G1� O <br />VALUE OF WORK <br />(for commerical work) <br />a 3 <br />H H <br />USE OF BUILDING <br />UJ <br />H <br />0t7Ur <br />NOTE: WAC 296-46-140 zeauires that plans for electrical work at educational, <br />of Washington. <br />institutional or health care facilities be <br />approved by the State <br />City <br />Applicants with such jobs must show the State <br />approved plans before a <br />2 H ti <br />r9 OtA <br />of Everett permit will be issued. <br />NOTE: ..tiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />1�... o,✓e aoo /1�rP /1eTP/L >u2 ove2 NeA-� <br />G/Ci77•) <br />1 <br />-I- <br />„'I rin/e >wa .fuN/tPA /��n Fae <br />DATE: <br />a..� SIGNED: <br />r..J 3/27/90 <br />