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CITY OF El7F,RE•PT DATE <br />ELECTRICAL WIRI1dG PMPM APPLICATION <br />JOB ADDRESS <br />TENANT <br />PROP= OPZ]ER <br />ELECTRICAL COHN <br />CONTRAC_ROR'S ADDRESS <br />2(05'- CJAJ 'Er G c 9�FCI3� <br />1�i 4.. 4in <br />LICENSE NO. /,3 EXPIRATION DA-'E 0 /0 3/V <br />AMM7ISTRA.ROR y1 % R PHONE NO. ,r/ -/?-- <br />VALUE OF MIT (do not include taxes) <br />(for comercial work) <br />USE OF BUILDING z CI, O(L CP <br />NOTE: SxMC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs must show the State approved <br />plans before a City of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />iv W TO BE DONE: <br />i <br />/ `C' �-e� z/ P `'' <br />SIGNED: DATE / f� � `� <br />12/15/89 <br />r <br />