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CITY OF EVERETT . . �-. �TE� <br />6 <br />ELECTRICAL WIRING PERMII• APPLICATION FEE� <br />JOB ADDRESS /� O i� e�.13 5 T L U C�/? e� <br />TENADTP <br />PROPERTY OWNER �C��I IJ S C, GC) 7-F � lf� e S <br />n <br />�ecrxicu. corrrxr,crox ��, R c� ,4 FI H c�e � c �J c <br />CONTRACTOR' S ADDRESS /n �3 � l6 �� �tG� � 7= s w. <br />• CZTY ZIP <br />LICENSE N0. /7`VCe G[/L� (� j� J�� � E7�TRATION DATE (o �/� <br />ADMINISTRATOR `'�� ��lJ¢l-�II'�� . PHONE NO. , %�,�1 YJ7� ' <br />VALUE OF WORK (do not include taxes) <br />(for co�erical work) <br />n 0 c� <br />USE OF BUILDING �S I C�I p r.C/C e ✓`� ' — <br />NOTE: WAC 296-46-14C requires that plana for electrical work at educational, <br />inatitutional or heslth care facilities be approved by the State of Washington. <br />Applicants with auch joba muat ahow the State approved plans befo'ra a City <br />of Everett permit will be issued. <br />NOTE: wirinq in non dwellings ia required to ba in conduit. <br />WOR1C TO BE OONE: <br />� <br />� <br />SIGNEDe VN�Y` / \,�-A1.�! � � DATE: �_ � <br />3/27/90 <br />