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do <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />DATE � 6 -.2? -J 41 <br />FEE s / so <br />PROPERTY OWNER ��II i�;QyI.L/%�lL6T 1_ <br />ELECTRICAL CONTRACTORGG7 / <br />CONTRACTOR'S ADDRESS �OIY�G� l0 6 7 S�/"�`K I �Oi/d -6(Odj <br />CITY ZIP <br />LICENSE NO. -Tu. Zl z I9,S' C <br />ADMINISTRATOR acSR i-%flt <br />VALUE OF WORK �; O p <br />(for commerical work) <br />USE OF BUILDING <br />EXPIRATION DATE _-( t', 1// — y <br />PHONE NO. i3 � x-) �d / - <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants with such jobs must show 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 />Nn\ A t c- W EL\ (f-c S P} EF R *+Ay 15 ✓�-�l�r�'r/' <br />SIGNED: <br />3/27/90 <br />DATE: /0 <br />