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,. . <br /> a�, <br /> � DATE ' � C C <br /> CITY OF EVERETT <br /> FEE 3�O cJ <br /> ELECTRICAL WIRING PERMIT APPLICATION <br /> q (� // � ' <br /> JOB ADDRESS � �/ S I Il,IC �L' �� ���L 2'J.,�C�' � <br /> TEN1�2:T I I��/--[,L7 11 � I �G�IS l�� �'C 1/�'�7 <br /> pROPERTY OWNER _ <br /> ELECTRICN+ CONTRACTOR �I^ {�� 1 � �"�� �`��"� <br /> � , U � „ . „_' t.v� GL� 5T1�r�GvoG�; <br /> CONTRACTOR'S ADDRESS � � r � CITY ZIp <br /> 1���'- � ��> ;'%, ,vc-, <br /> LICENSE NO. ,�'(' 191<� �? I��/C I — EXPTRATION DATE _ � 2- <br /> u <br /> yn PHONE N0. 1��i��%�7 9S� <br /> ADMINISTRATOR /�ri ���— <br /> � VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING � � �` <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 EveretC permit will be issued. <br /> �� NOTE: Wiring in non dwellings is required to be in conduit. <br /> p)pgtt TO BE DONE: <br /> � / Ilif I!/� L � ���� � ,� GL� �'IM" — <br /> SIGNED: I�-�t �^�1'LL/ _ DATE: [/� ���L� _ <br /> ✓ <br /> 3/27/90 <br />