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�" <br />CITY OF EVF:RETT <br />ELECTRIC:AL WSRING PERMIT P.PPLICATION <br />JOB ADDRESS f�7 v <br />TENANT <br />PROPEATY OWNER <br />ELECTRICAL CONTRACTOR <br />CONTRACTOr.'S ADDRESS <br />/ N C%s�✓%Ur �✓ <br />/l�•�-�S� .� f/-��:,�:�_ <br />.'7 � � J'� ��f/i� STl".I <br />LICENSE NO.1j�Z�S� .L I �J� ✓��'v <br />ADMINISTRATOR /,/O� I��NS✓��� <br />� DATE /O ��o � S / <br />o° <br />FEE � � � <br />� �. <br />�. ��Ge� <br />CITY ZIP <br />EXPTRATION DATE ' % ''2 � � � � � <br />PHONE NO. �.� �/ �-��5�� <br />VALUE OF WORK (do not include taxes) <br />(for commerical worJc) <br />SYj�% / <br />USE OF BUILDING /G�-L�L�.i <<1 1�'`��'C'� <br />NOTE: WAC 296-4G-140 requires that plans for electrical work at edu�. ic.�a1, <br />institutional ox health caze fa�:ilities be approve3 by the Sta�� of Washington. <br />Applicant:s with such jobs must snow the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />11/ �: Gi , i%' /��%J G � /?/l.L�.��7 ��/.�� <br />SIGNED: /" �''�"' ������' <br />. 3/27/50 <br />DpTE : / O '�� — G� � <br />=rr.s <br />