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:.. � <br />CITY OF EVEAET. <br />ELECTRIC.'1L WIRING PERMIT AP9LICaTION <br />� / � <br />/ <br />enz� �',�—l`'C) <br />FE� <br />JOB ADDRESS % � � O�N✓ � ��i'%�� � /✓ Y! [�-P� <br />TENANT � . <br />PROPERTY OWNER �/�! U `L -pSL-f(�^� /� �' -t�/�j ,�.5 <br />_—r' � � <br />�ecriuc�w rnrrrxncrox C%L ' ss � n� �-eti�< <- <br />CONTRACTOR'S ADDRESS _ ��D(7 /�/^�P_ ��'✓�F1' <br />4' <br />� • ,/ ' �=TY ZIP <br />LICENSE NO./C`/(i�'JS���� 3 ,vw .. � <br />^ • EXPSRATION DATE ia/3o/ iD <br />ADMINISTRATOR �/� I �'��"s� N .. PAONE NO. 3,�! � j� I • <br />VALtJE OF WORK (do not include taxes) <br />(for co�erical work) , <br />USE OF HOILDING �,l� S Q�y ✓� C,e �y7,•L /".Gc�/ ��/,�5� � <br />--� U <br />NOTE: WAC 296-46-140 requires that plans for elect:ical work at educational, <br />iastitutional or health care facilities be ac�roved 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 be in conduit. <br />WORK TO BE DONE: <br />SIGPED: <br />3/27/90 . <br />DATE: ri � '- J C� <br />