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CITY OF EVERETT <br />ELECTRICAI, WIgING PEiiMIT APPLICATION <br />JOB ADDRESS _ 1, 6 <br />� TENANT �� <br />j PROPERTY OWNER To %� <br />'. ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS 2�O__7�- - R o�,� P.�sll�r A��. F'v r- �t, 1�i �48201 <br />• ' � CITY 2IP <br />' LICENSE N0. N�T <br />' ADMINISTRATOR N�A <br />, � <br />� VALUE OF WORK N�A <br />(for commerical work) <br />DATE �L� 'O <br />r^EE <br />r <br />� <br />USE OF BUILDING <br />� � EXPTRATION DATE �/�,Q <br />v <br />PHONE N0. 2$ 7_ y q g 7 . <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at aducational, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants with such jobs mnst show the State s�'�.�:•03 plans befor.e 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 />SIGNED: <br />3/27/90 <br />DATE: �I / �/�ef� <br />