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.pr <br />CITY OF EVERETT � � <br />ELECTRICAL WIRING PERMIT APPLICATION <br />JOH ADDRESS (U `' J � � <br />TENANT <br />�_. <br />DATE �� <br />FEE p <br />%L% <br />PROPERTY OWNER t I • I il I ,��` t� <br />i. <br />ELECTRICAI� CONTRACTOR �i.�C.l�,^ j' C c � (Lt� ✓�q �/ ��9 i 1�}-✓L�GK7 /`S � <br />�„ ! CA P <br />CONTRACTOR'S ADDRESS /�yy�;� %�Wv �/�SLdil.h� - G �Q, �� �� Sa36 LTrn ��JOd � Wq, <br />� CITY 2IP c{ �U y 6 <br />LICENSE N0. GL I� I r� /y U,� <br />ADMZNISTRATOR 1��J��c�'� �/�9�� <br />EXPTFATION DATE � <br />PHONE NO. ( � / � ��S S� � <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDIN6 <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 Wash�.ngton. <br />Applicants with such jubs 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 TO BE DONE: <br />SIGNED: <br />3/27/90 <br />DATE: <br />