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CITY 3F EVERETT DATE,_4 "-)I <br />Ob <br />ELECTRICAL WIRING PERMIT APPLICATION FEE <br />JOR ADDRESS <br />TENANT <br />PROPERTY OWNER ,C <br />/ZA OL..C. AN <br />ELECTRICAL CONTRACTOR <br />//,, <br />L/,c//T� <br />CONTRACTOR'S ADDRESS <br />CITY <br />ZIP <br />LICENSE NO.E�G176/%6 <br />EKPIRAT:ON DATE <br />ADMINISTRATOR &,,V,,4e-f!//%j/7FG <br />PHONE NO. <br />VALUE OF WORK (do not include taxes) <br />(for commerical work)) <br />USE OF BUILDING �C F,j/dFA/G'E <br />NOTE: WAG 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 with such jobs 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 he in conduit. <br />WORK TO BE DONE: <br />SIGNED: <br />3/ 27/90 <br />DATE: Y. —/17 9f <br />