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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />l,'i /iic-LZ1//< <br />/' <br />ELECTRICAL CONTRACTOR <br />DATE 41 <br />FEE <br />CONTRACTOR'S ADDRESS -�2 / /Y % 2 // � %//lz/Wl '�ZXl' <br />CITY ZIP <br />LICENSE NO. V/Z- M 7. 2 //l EXPIRATION DATE' 12�% <br />ADMINISTRATOR �7—�iC%,f PHONE NO. ��� �Z Car©� <br />VALUE OF WORK / d �� 8 (do not include taxes) <br />(for commerical work) / <br />USE OF BUILDING s-GCI-I /� 4/,, <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. <br />Applicants with such jobs must show the State approved plans before 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 />sU <br />SIGNED: <br />3/27/90 <br />(; V <br />"-C SP/ <br />DATE: h C <br />