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'�, DA� o - �-9� <br /> CITY OF EVERETT p� � <br /> � a K �� � <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE � _ <br /> JOB �o�ss �U/,Y Dl���-S <br /> TENANT <br /> PROPERTY OWNER Gl.a/ G"' ' �'—���S�� <br /> ELECTRICAL CONTRACfOR (�l� �UT ` LZL=� l/UCJ � <br /> CONTRACTOR'S ADDRESS 1 � L�I /'�SUI., �C7 Z 7v <br /> CITY ZIP <br /> ' LICENSE NO. C-M1�1/OE I�e�- �IL EXPTRATION DATE ',�- qO � <br /> n �,+ � <br /> ADMINISTRATOR l.��-�F� OGi1.�G0� L. PHONE N0. 65.3 / �S <br /> , VALUE OF WORK (do not include taxes) � <br /> (for commerical work) � <br /> USE OF BUILDING 'SF�` � <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 he in conduit. <br /> WORK TO BE DONE: <br /> �� <br /> a-�x� m�P s���«� w�,� s,�,e <br /> , <br /> SIGNED: •" DATE: �O-1�`� �� <br /> 3/27/90 <br />