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(� <br />CITY OF F;VERETT <br />ELECTR:CAL WIRING PERMIT APPLICATION <br />�. <br />JOB ADDRE55 ���.. �j/L G /3—(.� . .-, _- '" <br />� <br />TENANT <br />PROPERTY OWNER � /:��VYI SQ N <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S �DDRESS <br />i N Z� /.f' L <br />o� y',� <br />LICENSE NO. �C<'�+��7�,���,�3 �r�1.' <br />ADMINISTRATOR OQN l L"V�I�S.`�/ti� <br />C. <br />�C'_ <br />.-, <br />DATE `/�29�9/ <br />� <br />FEE� <br />EXPTRATION DATE %' �� % �2. <br />PHONE N0. ,J ,% � ' �J l'f I <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING I�.(� 3/�*%�✓C <� <br />NOTE: WAC 296-46-190 requires that plans for electrical work at educational, <br />institutional or health care facilities be approve3 by the State of Washington. <br />Applicants with such jobs must show the State approved plans bFfore a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is r�quired to be in conduit. <br />WOf2K TO BE DONS: <br />�/1 <br />SIGNED: ��.Ct�i / (�� C. t[-�7?�� <br />3/27/90 <br />DATE: Y" �CJ - �/ � <br />