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CITY OF EVERETT _„y p <br /> � I"�"`• DATE ]i(o /D <br /> ELECPRiCAL WIRING PERMIT APPLICATZON -� I <br /> FEE �"'�� <br /> JOB ADDRESS (p 3Z�"' � ST � 5 � <br /> TENANT <br /> : PROPERTYOWNIIt _ /VCJ/ZTf-� C��%'ot-�!` I� �iy���� <br /> ELECTRICAL CONTRACTOR � <br /> : CONTRACTOR'S ADDRESS Z�Z UT�I�LL 7 's ' �F/2•? <br /> /l1iGG CylEc,� 9�0/z <br /> . y � CITY ZIP <br /> � LICENSE NO. /YD/ZTF� � / R'J�/Q. 7/ /�/ <br /> - — EXPTRATION DATE � c- / <br /> ; ADMZNISTRATOR �/GIG k(���y,� pHONE N0. � S6 "�7-pW <br /> : VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING TF-!M P. �v7.�I�'�, �d�E �2cs���,�;�q�) <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 pesmit will be issued. <br /> .� NOTE: Wiring in non dwellings is required to be in conduit. <br /> � WORK TO BE DONE: <br /> � <br /> — % �!✓� �dG�JCi2 /�rJ��= <br /> s <br /> SIGNED: /� GP_ ,�_ u9 <br /> DATE: <br /> 3/2i/90 <br />