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CITY OF EVERETT <br />DATE 7/5 /Q, <br />ELECTRICAL WIR`NG PERMIT APPLTCATION FEE_ <br />JOB ADDRESS _ 190? Lcu k S1- <br />TENANT _R jglce: <br />PROPERTY OWNER �E„-�ks 5; 0(f <br />ELECTR.I.CAL CONTRACTOR 11 L �) F(,,, � %.ve <br />CONTRACTOR'S ADDRESS ?y sy -r4 <br />CITY ZIP <br />LICENSE NO. SE -r aFn� 1 j O D o EXPIRATION DATE ; <br />ADMINISTRATOR f?a bee-f T,,,arm PHONE NC. ?.Ty 03y <br />VALUE OF WORM. � <br />ISa (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING v,,&- (_,c" <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 />SIGNED: <br />3/27/90 <br />DATE: <br />