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. . <br />CIT'i OF EVERETT <br />� + DATE 'o Y 4 ��ra <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROPERTY OWNER <br />CI /lJ /�Gi����✓ <br />ELECTRICAL CONTRACTOR <br />�L' �' C� f/O �%� <br />�6�' / <br /><"v� s in� 9//.Zc�Lc c� <br />FEE 3 S G <br />CONTRACTOR'S ADDRESS � O Q S/ /'�� 5���� <br />CITY 2IP <br />LICENSE NO. IL'��5 " ���3 �Zu� <br />ADMINISTRATOR � ,�/LVV'�V� <br />EXPIRATION DATE' � �/ �Q <br />PHUNE NO. �.3 � � �+� � / <br />VALUE OF WORK (do not include tases) <br />(for commerical work) 't <br />USE OF BUILDIN� �� p 5��` �"'�� �� <br />NOTE: WAC 296-46-140 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 Everett persit will be issved. <br />NOTE: Wiring in non dwellings is required to 6e in conduit. <br />WORIC TO BE DONE: <br />J�f /_ % <br />.c <br />{I �jJ��� /J���1��, nATE: /� -a6—So <br />SIGNED: ! / " -" " <br />3/27/90 <br />