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CITY OF EVERETT DATE�Z -��U <br /> ELECTRICAL WIRING PERMIT 11PPLICATION FEE <br /> JOB ADDRESS � �O Z ��`/V/C/� �Jl� <br /> TENANT _ (�0�� /N(����� <br /> PROPERTY OWNER \ �D ��jCJ ��7OJ��./\ <br /> �LECTRICAL CONTRACTOR ���(��� �V�C���C <br /> CONTRACTOR'S ADDRESS 3G /s ,/�i�(yC'��� �L(� �2�; — <br /> CITY ZIp <br /> L:CENSE NO. ����/U/GSL79C// EXPZRATION DATE _ Z " Z� ' �/ <br /> ADMINISTRATOR �/C,��/�ic-� �J���� pHONE N0. � �—� ��'7 <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDZNG S�� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be a�yroved 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: t9iring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> /�C.) %b Z<--d A-XlF-� � /��'��r� C��752�X�'c <br /> I <br /> � <br /> � <br /> � <br /> : � <br /> �jJ ; <br /> SIGNED: /// �_ DATE: /Z —Z�f� <br /> ���� � � <br /> 3/27/90 <br />