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>r3 fn <br />H H <br />Ox0 <br />to O <br />H t7 <br />OH�j <br />H M <br />n. o <br />zH3 <br />9H t+z7 <br />g <br />Cn H �' H <br />O t7 (A <br />z H CA <br />r3 O CA <br />L ' <br />11 <br />U <br />fi <br />Lf <br />i <br />P� <br />Mf <br />CITY OF EVERETT +ry <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS -i-LI <br />TENANT r I <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />DATE Ili <br />G( <br />FEEj_ <br />LICENSE NO. SUN WlSUN W3-IV��JIO EXPIRATION DATE ��T I�I`_l� - <br />PHONE NO. <br />ADMINISTRATOR <br />VALUE OF WORK 75 <br />D'✓��0 (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING F <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approvd by theState of Washington. <br />Applicants with such jobs must show the State approvedplans <br />a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />DATE: 1 V -7 I CH <br />SIGNED:"'-- <br />OCT - 9 1991 <br />3/27/90.„..CITT.....Y OF ............. .... _...............RE.....,..._. <br />EVETT <br />Public Works Dept. <br />