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. . <br /> CITY OF EVERETT ^ DATE IC•�/J�1 /�TL/ <br /> ELECTRICAL WIRING PERMIT APPLICATION <br /> FEE G� <br /> sos z�noxsss � D �i 1liG� %����%/,L�% <br /> TENANT �/�...Q 0 ✓L� EJ✓fi(I' <br /> —�--, <br /> PROPERTY OWNER <br /> ELECTRICAL CONTRACTOR C'rL��7� � �` �� �G <br /> � CONTRACTOR'S ADDRESS � % d � " " �� ✓ �/"��' �✓� ��z �/ <br /> CITY ZIP <br /> � LICENSE N0. /�'�L�f 'S5 G�� ����Z� EXPTRATION DATE � �� � /� <br /> ADMINISTRATOR D� �C'�� S� nI PHONE N0. ��� 'a 3 % � <br /> VALUE OF WORK (do uot include taxes) <br /> (for commerical work) <br /> USE OF BUILDING /[ Pij SI C�{{� C c� <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. i <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> I <br /> NOTE: Wiring in non dwellings is required to be in conduit. ! <br /> � <br /> � <br /> : WORK TO BE DONE: � <br /> ' � a d /�v� ��7�,5_P�✓ � <br /> , ✓�c -� � <br /> i <br /> ; <br /> 1 <br /> SIGNED: �\/'iG�'✓ � G�Ii(/r i w 1 DATE: �D '� � �/ �/ <br /> 3/27/90 <br />