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CITY OF EVERETT � DATE I I 1 I �'� <br /> ELECTRIGIL WIRING PERMIT APPLICATION <br /> � FEE �� <br /> � JOB ADDRESS I�O� OUACJ�/� ,.�,II,I�Q ��M"JLK�-� i "/ 6 �O I <br /> � � <br /> TENANT <br /> PROPERTY OWNER � <br /> FT.F.Cq'RICAL CONTRAGTOR <br /> � CONTRAC7'OA'S ADDRESS ����"�(, � ��� <br /> • CITY ZIP <br /> LICENSE N0. lU[u�-+-'7� I D I �.�� EXPTRATION DATE � <br /> ,! ADMINISTRATOR . � _ . PHONE N0. � ��✓ � � <br /> VALUE OF WORK IDU (do not include taxes) <br /> ; (far commerical work) <br /> � <br /> . USE OF SUZLDING <br /> ' NOTE: WAC 296-46-140 req res t at plans or electrical work at educational, <br /> ; institutional or health care Eacilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans befo're a City <br /> • of Everett permit will be issued. <br /> t NOTE: Wiring in non dwellings is reguired to be in conduit. <br /> ' WORK TO BE DONE: <br /> � ���- 1�1,11.� �� .�,�nJ ,D � <br /> SIGNED: DATE: II I V <br /> I ! �,1 � � .. n �� ^ `_.. • <br /> :� ��. '.�, � '. , �a i `1 1 <br /> � Li . <br /> 3/27/90 NOV 2 C 1991 � <br /> ...................._..............._......... <br /> CITY OF EV�RETT <br /> Public Works Dept. <br />