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CITY OF EVERETT � <br />.. DATE '1-�7� ` b <br />ELECTRICAL WIRING PERMIT APPLICATION FEF. 3� F— <br />JOB PDDRESS IIIO3� J�v r h �`' <br />TENANT �� (�� �✓ � — <br />PROPERTY OWNER �G GO AlST _ <br />ELECTRICAL CONTRACTOR ...I b-F�`�GT��C /' �yp <br />CO 4TRACTOR' S ADDRE55 3/z o�,��cr,�� r�� ��/B hCiT 70 �� 8 <br />CITY ZIP <br />LICENSE N0. ,�� ��� '�'� 3�+ � �� <br />ADMINISTRATOR (TRS�JITW zS8 ND <br />VALUE OF WORK <br />(for commerical work) <br />USE OF BUILDING <br />5��� <br />EXPIRATZON DATE (�'"�� ! � <br />PHONE N0. •,�3'�y�C _ � <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care £acilities 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 HE DONE: <br />G!i"'J . �i�1i% OY��� <br />SIGNED: ��ri�� DATE: '�(-1 /-FV <br />3/27/90 <br />