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CITY OF EVERETT <br />ELECTRICnL wiAING PERMIT APPLICATION <br />DA7'E � ' � 3-7 '� �7 � <br />FEE ,il/ <br />�os awnxess Z 7 4/�iVl D.0 E — <br />TENANT <br />PROPERTY OWtiER N/✓!`� D EE-� E <br />ELECTRICAL CONTRACTOR G✓N� <br />CONTRACTOR'S ADDRE55 CITY ZIp <br />LICENSE NO. EXPTRATION DATE�. <br />PHONE NO. � s"2 - aZlO� <br />ADMINISTRATOR <br />VALUE OF WORK (do not include taxes) ._ <br />(for commerical work) �S `�(\PSCN�L� o� %�f cu�o�S c� a naf c�ED'� <br />USE OF BUILDING <br />,1/.���c — IJ�,�%n.i �G�ou-� S�iZ or GRup/PxS�-{0 <br />NOTE: WAC 296-46-140 requires that plans for electri=oved bk theeStateiofgWashington. <br />institutional or health care facilities be aPP Y <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett pezmit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WOgR TO SE DONEt <br />( <br />CE <br />DATE: � - Z 3 ' 9 / <br />SIGNED: � � � �"6� <br />3/27/90 <br />