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I�\ <br />CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT 1\PPLICATION <br />JOB ADDRESS <br />i <br />DATE � — � a2 r'7� <br />FEE <br />TF..NANT ]�Un �%ON �� � S �% � 5 v 'i <br />PROPERTY OWNER .��JL2 /L Mr (J I�h.t( L�lKy J L%IY 04 IES fCr.co � �����v .��--8'i J 7�i <br />/ <br />ELECfRICAL CONTRACTOR �CPS �� �� �ip/G �� <br />� 9.31 � � � �rr �-�= � ,� y��.,7/� ��. 9�� �o i <br />CONTRACTOR'S ADDRESS I <br />CITY � ZIP <br />LICENSE N0. ���57� �E' �✓2 d O! 6XPTRATICN DATE � � 9I �_ <br />ADMINISTRATOR / Ou%C�<'SD�Z�NY PHONG NO. � 5 3-7�1J <br />VALUE OF WORK (do not include taxes) <br />(for commerical workl <br />USE OF BUILDING �,p��/A� J t�� — <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by tt�e State of Washington. <br />Applicants with such jobs must �how the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO SE DONE: <br />SIGNED: /J��' R/ / �/ "�'� '! <br />,. <br />3/27/90 <br />onT�: / a �-9� <br />