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CITY OF EVERETT <br />ELECTWCI�L WIRING PCRMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNBR <br />2d�i� <br />£LECTRICAL CONTRI�CTOR <br />CGNTRACTOR'S ADDRESS <br />DATE �I ' vZ �. -� � <br />oG <br />FEC �S ' <br />—Q n u.� i<�'v`2 �l/L�'� �'o.✓��l /� � / <br />CITY ZIp <br />LICENSE NO�GGL�.SS �T' /�J R GG <br />ADMINISTRATOR DO /J I��- S rSI�� <br />EXPTRATION DATE'�_I � �� � <br />PIiONE N0. 3�%`�a�7 � <br />VALUE OF WORK (do not include taxes) <br />(for commerical wcrk) <br />USE OF BUZLDING ��P� G`�G�✓�GP — <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutio�al or health r,are Lacilities b� approved by the State of WasViington. <br />Applicants with snch jobs must sl�ow the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wizit�g in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />r• <br />G� �-� u,� <br />SIGNED: <br />3/27/90 <br />�nre: �/� —JC/ <br />