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CITY OP EVERETT <br />ELECTR:CAI. WIRING PERMIT APPLICATION <br />',roa rwo�ss ':'l7'j G'i�C'lii'�c� <br />TENANT <br />-�c PROPERTY OWNER � 'i "N tirS %'� /, �4/LlL <br />� ELECiRICeV. CONTRACTOR ,.U.UPICn. <br />CONTfv�CTOR'S ADDRESS <br />LICENSE N0. <br />ADMINISTRATOR <br />VALUE OF WOAK <br />(for commerical work) <br />X USE OF SUILDING <br />� <br />�'�. �'� <br />DATE � i ; c : C � <br />FEE� <br />CITY <br />EXPTRATION DATE� <br />� PHONE N0. �5 �" ���g/ <br />F <br />(do not include taxes) <br />ZIP <br />NOTE: WAC 295-46-140 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. Evcrett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO SE DONE: <br />�� _ / � <br />SIGNED: <br />3/27/90 <br />L. <br />DATE: c� ��T` �� <br />