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CITY OF EVERE'PT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS 1 O P� "VP.St <br />TENANT � �f �G 7\ I V <br />��— <br />PROPEIiTY OWNER liL! 1 I G <br />EL6CTRICAL WNTRACTOF. G " I "� <br />CONTRACTOR' S ADDi2ESS O�'idO ��( <br />v� <br />DATE ������Q <br />FEE ��C'�iO� <br />F f t �'ga.� <br />CITY 2IP <br />LICENSG NO. � � � � �' � � — EXPIRATION DATE _ I U— � � <br />ADI�IINISTRA'POR �(' L. �✓/� l�t �'' PHONE N0. o`� S�I "�(�po1Fi <br />VALUE OF tJORK ��dQQ (do not include taxes) <br />(for commerical work) � � <br />USE OF BUILDING <br />NOTE: WAC 29G-4G-140 requires that plans for electrical work at educational, <br />institutional or heallh care iacilities be approved by the State of Washington. <br />Applicants with such jobs must s}�ow t}�e State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: l4iriny in non dwellings is required to be in conduit. <br />WORK TO BE DONI: <br />rx� icc� s� -� t4.s — <br />SIGNEiU: <br />3/27/90 <br />DATE: I I--( � lO <br />8 <br />