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.�, <br />CITY OF EVERETT ;' <br />ELECTRICAL WZRING PERMIT AppLICATION <br />JOB ADDRE55 � � '�� � p` C( � �k �� �� <br />y T- <br />TENANT _ / _ /� ci'�/ S E' � <br />PROPERTY�OWNER _� <br />ELECTAICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />� <br />b: <br />•2.z / %5't'� <br />r`- , <br />DATE ,j -�_ � ��- � � <br />FEE S �-J <br />LYh yt woceL <br />CSTY ZZP . <br />LICENSE N0. . " <br />' � -EXPSRATION DATE� <br />ALMINISTRA'COR PHONB NO. ��� �—�� 5' � <br />VALUE OF WORI: �n 6 (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING y-lOI.�SC� <br />NOTE: WAC 296-46-140 zequires that plans £or 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 pexmit will be issued. <br />NOTE; Wi:ing in non dwellings is required to be in conduit. <br />WORK TO HE DONE: <br />DO i.�/...�A �!'f.,.__ Iil,l %I .—I,. � -� <br />u <br />SZGNED: ���, <br />3/27/90 <br />DATE: �—� <br />3 �- <br />