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CITY OF EVERfiTT <br />ELECTRICAL WIRING PEAMIT APPLICATION <br />JOB ADDRESS • CI S �I /J �, r�� N 1�,� �� IC <br />TENANT <br />PROPERTY OWNER �C��D�'� � `T� ` 1� — <br />ELECfRICAL CONTRACTOR ��- v N l C'12 �. L. � L T 21 C <br />CONTRl1CTOR' S ADDRESS f�'� `( — l 3 0' y/�-�-•- � c_, <br />��:��. �;�nr�LC�944tiC <br />LICENSE� NO. fi.�-S�*�1F������ <br />ADMINISTRATOR , rf- ✓�" '� C(3 7� 3 n� 1. <br />VALUE OF � WORK �� � f�� p O�� <br />(for commerical work) <br />DATE I ` � ��' ` Cl I <br />FEE y5`'-° <br />I�e ��c�=2� �i,�'U0� <br />CITY ZIP <br />EXPTRATION DATE� �I � � <br />PHONE N0. Y� �-( S L i� <br />(do not include taxes) <br />USE OF. BUILDjNG �� e S I I' t�- N G L <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />inetitutional or health care facilities be approved by the State of Washington. <br />Applicanta with auch jobs must show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wirinq in non dwellings is required to be in conduit. <br />WORIC TO BE DONE: <br />SIGNED: <br />3/27/90 <br />l,�-1 I 12 (, (/�1'��,� i�l �' S l 1;� C r' �� �- � <br />�ov Am �� <br />�il/� ��1 � <br />DATE: I �� �I `�I <br />