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CITY OF EVERETT ^ <br />�ELECI�RICAi. WIRING PERMIT APPLIC.ITION <br />JOB ADDRESS <br />� <br />1�Ur <br />� <br />DATE � p. O <br />FEE ' �a <br />�, <br />TENANT <br />PROPERTY OWNER ��Or�1�✓�� � Z� y <br />RT.F.CTRICAL CONTRACTOR l�a�/i � I�GT✓�1 C <br />CONTR.ICTOR' S ADDRESS 2 g(Q / 30'Fti i�l 5��, �U�i'G�t� l,✓N, �i `6�i 0� <br />� CITY ZIP <br />LICENSE NO. G V EL F�'IOI C/� ��� EXPTRATIGN DATE Z�'' Z""/�"' _ <br />ADMINISTRATOR �(,J/� I �VYN�QGLf1Pi . PHONE N0. � / 7` � / SD _. ' <br />VALUE OF WORK +" f D6's OD ��/ ��Q`�r(do not include taxesj <br />(for commerical work) <br />USE OF HUILDING ����� , _ <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health caze £acilities be approved by the State of Washingtoi:. <br />Applicants with such jotis must show the State approved plans before a City <br />of Everett pezmit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />�D 73 v-.>-,� o�.S...-.-c�- <br />SIGNED: ( iQ�%(/V ��� DATE: � �I � % D <br />5/27/90 <br />