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i <br />CITY OF EPERETT <br />DATE "J�-�� � Y� <br />� W <br />ELECTRICAL WIRING PERMIT APPLICATION FEE ,� j — <br />JOB ADDRESS ��O C� �� �N I� DI�- <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR IM � � I�II /c�'_.C��C% �I � <br />CONTRACTOR' S ADDRESS _� I S_ I�(ev M���' C I�U �/ � G 6� <br />CITY 'LIP <br />LICENSE No. �M�vINC4��C� EXPIRATION DATE _ Z' Z�-y S <br />ADMINISTRATOR �tiilLl�'/I/Ll.. 1v� L�I�� PHONE NO. ZSz- T�' V� <br />VALUE OF WORK <br />(for commerical work) <br />USE OF BUILDING S �' <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be appro•.•ed 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 />NOiE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />/�'L L = <br />ZU c; Ir/�I r� U I� S/�f� �%/� <br />u� rti�� ti �� �'�i i� ,�M <br />z- k rr� H� ���-. c. uTs <br />SIGNED: ���,�r,/�,��� DATE: �-��- �f"/ <br />3/27/90 <br />