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/" r <br />CITY OF EVERETT DATE �O —2�'^J�O ' <br />ELECTRICAL WIRING PERMIT APPLICATION � FEE� <br />JOB ADDRESS �� p �/ %J-o j� - <br />'-"—�—� <br />TE:IANT `"--� <br />PROPERTY OWNEF <br />ELECTRICAL CONTRACTOR ��W � G E C�/! �G <br />CONTRACTOR'S wnxess �Yd7str� Ld <br />C <br />CITY <br />. <br />ZIP <br />i LICENSE NO: ��w £L� /9�D(� EXPTRATION DATE ��—IG ��� <br />ADMINISTRATOR�a �j ��( t �}� D Sd.(� PHONE N0. _�(� ��J ��� <br />; VALUE OF WORK ��5 � C� (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING _ �Q {i �� ` <br />NUTE: 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 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 be in conduit. <br />WORK TO BE DONE: <br />SIGNED: <br />3/27/90 <br />2 <br />L- <br />DATE: � p �Z 9 —FQ — <br />