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CITY OF EVERETT <br />ELECTRIGlL WZRIFG PEYS7ZT APFLICATIOL] <br />JOT� ADDRESS <br />TENANT <br />3�U1 /dUy7- <br />//a�—c.�..v< <�i.A ,�,Y�`-- <br />DATE �— �I "'�T �� <br />a�o_ <br />FEE <br />FAOPERTY OWNER N�}��%���+/ GGNJ�i ZI51- H�L</(�o� C�F'�'-Yi /iG'�/�7 <br />ELECTRICAL CONTRACTOR <br />CONTRAC'fOR'S ADDRESS <br />LICENSE N0. <br />i��MINISTRATOR <br />CITY ZIP <br />EXPTRATION DATE <br />PHONE N0. ZJ Z�-� ysv •- <br />VALUL•' OF WORK TFI`iP. �LC-�C, (do not include taxes) <br />(for commerical work) <br />USE OF' BUILDING "�'�-� • .E�qe_6, _ <br />� <br />NOTE: �9AC 296-96-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants wich such jobs must show the State approved plans before a City <br />of Everett yermit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />'�E/-i /' ���, i�if h ! i — �!%� �--r�i-f� ,c?Gh✓-�-- �-; <br />SIGNED: �� .��� <br />3/27/90 <br />G� �J_.c <br />DATE: _'__ �6 <br />