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! <br />CITY OF EVERE_P <br />ELECTRIGIL WIRING PERMIT APPLICATION <br />J�B AD�RE55 /�'3� s, <br />TENAN2 <br />PROPEATY OWNER <br />,'Ig/i��f �c��S <br />/� !� <br />ELECTRICAL CONiRACTOR _ ��Lb (7U�1 LC�G�� /.'�% G <br />CONTRACTOg'S ADDRESS <br />zicsNse No. , /i�'/7-l7� / 3ZZ .�lC <br />ADMINZSTRATOR C� vG{ IJ C/�IV <br />VALUE OF WORK � <br />(for commerical work) <br />DATE (p - p`�� -��� <br />�„"' _ <br />FEE j�.co <br />CITY <br />�'.� �( <br />2ZP <br />EXPTRATION DATE %Z�.�'/b <br />PHONE N0. 6S 3 I� 3 S - <br />(do not include t-axes) <br />USE OF BUILDZNG �%-IG <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants w9.th such jobs must show the State approved plans befo're a City <br />of Everett pezmit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />�U A s�,cv�c� ,hti0 ,t���,r���� r,��,�i,-� <br />C� ' <br />SIGNED: �Gu2��1 DATE: ' ZZ' JO <br />3/27/90 <br />