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� <br />CITY OF EVEREiT <br />ELECPRICAL WIRTr1G PT�'.12MIIT APPLICATION <br />�L <br />JOB ADDRESS ,,�0 SU <br />TENANP <br />P'JI• '1 • I ' <br />oa� - ,� � LS <br />� <br />RT•FY`17u'c�ir� Ql[�n'�ic.'1Cix ✓/] f � � /-i G-�/ C�� <br />�NrRAC'�OR'S ADDRBSS l,%5� � �/77` S,T /i�� �C/l S7e v�.-� S <br />- Citv zin <br />LI�NSE N0. �FE� � �J�Q .� C� EXPIRATIrHQ DA'?'6' / 3% 9/ <br />r�rarrrs�.�?oR ,La r� �q ��-�,— rtior�: rA. �� �/ //S ``l <br />VAi,UE pF ;•ARK do not include taxes) <br />( for canmscial t�vrk) <br />USE OF BUILDICIG � J / �7 c� /'-L ~ �I /!Y / � <br />Nt7i'E: S�AC 296-46-140 requires that plans for electrical work at eciucational, <br />institutional or health care facilities be approved by the State of <br />TVashington. Applicants with such jobs mist show the State aoproved <br />plans before a City of Everett pes.nit will be issued. <br />Nt7i�: SViring in non chaellings is requirnd to be in conduit. <br />WURK 'IU BE DO[� <br />.-i <br />SIG��D: <br />12/15/89 <br />�� <br />� <br />� �tiTT' ;;L �c� 90 <br />G -p <br />