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L/ % `+ <br />CITY OF EVERETT ft-w 1 <br />i DATE i <br />ELECTRICAL WIRING PERMIT. APPLICATION <br />FEE <br />91O2- <br />JOB ADDRESS <br />n•�] <br />pax <br />TENANT 0 ICE/( S 'C V I A) <br />/'.A c I F <br />C: <br />H <br />9 <br />H <br />to <br />H <br />axa <br />PROPERTY OWNER <br />r3 <br />Z <br />kA <br />H <br />= <br />ELECTRICAL CONTRACTOR1-LD <br />J- L c- !TL1( <br />It <br />H (n <br />O <br />( <br />CONTRACTOR'S ADDRESS I l7 �.S O g % <br />q <br />S_� J J / f( 2-o 1 <br />CITY ZIP <br />O <br />O <br />H <br />C7 <br />I <br />LICENSE NO. W J-� �� �=5 L� <br />EXPIRATION DZTE <br />=08 <br />HVTJO <br />n^ <br />ADMINI:.TRATOR <br />C <br />PHONE NO. '?. <br />r <br />`3 <br />Z <br />VALUE OF WORK (do <br />not include taxes) <br />H <br />y <br />(for commerical work) <br />d <br />En <br />USE OF BUILDING <br />ET <br />5 <br />H <br />L� <br />[n <br />NOTE: WAC 296-46-140 requires that plans for electrical <br />work at educational, <br />'3 <br />O <br />m <br />institutional or health care facilities <br />be approved by the State of Washington. <br />Applicants with such jobs must show the <br />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 />w WORK TO BE DONE: <br />s <br />DATE: 7 2 % <br />3/27/90 <br />