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� y <br /> C� � <br /> H�� <br /> �H� CITY OF EVEAETT � DATE � <br /> �,_� ' � � FEE � ���J <br /> ,r"��., ELECTRICAL WIRING PERMIT APPLICATION <br /> H /� �+ <br /> ��� JOB ADDRE55 ��' r��1ll,(/i 4u ) \L��t/GC ��- � 3S3 -Sy3GI <br /> �H� TENANT � /Z . . <br /> ~ I3JV� <br /> g y PROPERTY OWNER L •"v � N � <br /> ��yy � <br /> gLECTRICAL CONTRACTOA � �-� � � <br /> �-7 O� CONTRACTOR'S ADDRESS ( l�{ I S I Z�- 71�{� �'VG l��E k i� u � w�N�� ZIP '�� <br /> . CITY <br /> � LICENSE N0. . � I A�/ �T '�' IO I J� � � EXPSRATION �ATE ���� C�' <br /> � ADMINISTRATOA �C:�F1"� Itl�'l��N_— � PHONE NO. �7�J 1'� I� • • <br /> VALUE OF WORK yl 7S ,Op (do not include taxes) <br /> � (for commerical wo=k) <br /> i <br /> USE OF HUILDING �ESJI l/L�J��L �L�GL� �G�1 <br /> I <br /> � (: ;.- .. WAC 296-46-140 requires that plans for electrical wo=k at educationa , <br /> institutional or health caze iacilities be approved by the State of Washington. <br /> � Applicants with such jobs must show the State approved plans before a City � <br /> � '�1 of Everett permit will be issued. <br /> '�1 ' NOTE: Wiring in non dwellings is required to be in conduit. <br /> / ' 1 <br /> ,_' ; � WORK b BE DONE: <br /> '_� �` i � �!)-� �- cZWS/��/�� �n. �V�-�5/ C� � � C C� <br /> ��' <br /> �1 . <br /> �f <br /> �' <br /> I � � �j�p, ��/��`"�. /�- DATE: ,�l �� <br /> � SIGNED: _`z��<4"��c--"-�---�/f� <br /> 1 <br /> ' <br /> i <br /> 3/27/90 ' <br />