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CI�1 OF EVERETT DATE �/z�� <br /> p,LgCTgIG1L WIRSNG PERMIT APPLICATION <br /> F£E��U <br /> JoB �o�ss 37a 9 5�, ;-�� A�.e, <br /> TENANT �-� /` �� O G r . <br /> pROPERTY OWNER � GZ�'a �GV <br /> ELECfRZCAL CONTRACfOR �ir�rt '� -r! F(e.cY C�On-t INC. <br /> ••� Fyare tE 9dL.�_ <br /> CpNTRAC!'OR'S ADDRESS .3 0 / SvuZ� �— . CITY ZI'-� <br /> LZCENSE N0. �TIN/ T/=� G /7G�� � EXPTRATION DATE �0�3/ /9/ . <br /> 11pMINISTRATOR n�,��� �R vH rnar . PHONE N0. .�� 70 l� � <br /> � VALUE OF WORK � � , �� __ (do not include tax�:s) <br /> (for co�erical vrork <br /> OSE OF BUILDING S�1""�� � � sZ"Z '�'"' <br /> tJOTE: WAC 296-46-140 requires that plans for electrical wozk at educational, <br /> institutional or health caze facilities be accrovad by the State af Washin�.7ton. <br /> Applicants with such jobs must show the State approved plans befora a City <br /> of Everett permit will be issued. ' <br /> NOTE: Wiriaq in non dwellinqs is required to be in cond�it. <br /> WORK TO BE DONE: �J <br /> �N S�Q /� !? C [.t� �O Y � I�GQ OC e./' <br /> o -- <br /> C��, � DATE: L �. ��_ <br /> SIGNED• <br /> 3/27/90 <br />