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CITY OF EVERETT <br />ELECTRICAL WIRZNG PEAMIT APPLICATION <br />JOB ADDRESS �� // � L/�� <br />TENANT <br />PROPERTY OWNER � <br />ELECTRICAL CONTRACTOR <br />DATE oZ. � q/ <br />FEE� <br />, � l:-l� C,�-,.� C -�w7�.�✓ <br />�1 � 1 <br />vj/ /+ �> i : ..� � /i��f � ''c:� _ <br />CONTRACTOR' S ADDRESS � y!� �;� �"" '�'�'��e � �" "��� � �d Z � � <br />CITY ZIP <br />/, <' <br />LICENSE N0. �l�'Z�� 7.5 �� �`� �Z"�"� EXPTRATION DATE � ���3 � %� <br />ADMINISTRATOR �Do �� � L'�'^/9" S S:^� PHONE NO. _ZJ� J`�✓2 3%/ <br />VALUE OF WORK ��O �� (do not include taxes) <br />(for commerical work} <br />USE OF BUILDING `!7 �'l Ul �'��e Cf�i� <br />NOTE: wAC 296-46-140 zequires 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 permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TC BE DONE: <br />A� T <br />, <br />, <br />SIGNED: P"L�.� � -�Zt��C �+...J <br />3/27/90 <br />DATE: � l �'� �/ <br />