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DA'iE O 2 U <br /> CITY OF EVERETT �p <br /> FEE�_ <br /> ELECTRICAI. WIRING PERMIT APPLZCATION <br /> JOB ADDRESS �'6 0-� G � � U 5 � <br /> TENANT <br /> PROPERTY OWNER ,_�Q . L L l�tt! <br /> ELECTRICAL CONTRACTOR `-2� G �S /� L � <br /> �� � 5 i �� .UD.ff0�9iJ!/ 9B 2 g b <br /> CONTRACTOR'S ADDRESS �3�� � CITY �IP <br /> � <br /> LICENSE N0. ,�2/ � �s .� 2 �'3 D� EXPTRATION DATE _ ��3/�, �'2 <br /> � 5 D�f PHONE N0. � �' � ��2�� <br /> ADMINISTF4ITOR ��-� G � � � <br /> VALUE OF WORK ldo not include taxes) <br /> (for commeric:.l work) <br /> USE OF BUIL:JING S/�� <br /> NOTE: W:+C 296-�6-140 requires that plans for electrical work al 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 /> � WpRK TO BE DONE: <br /> 2 /_1 � SToG� Y ,S .�d�tT/ o�/- <br /> � ���o DATE: //5/29/'�16 <br /> SIGNED: �i` �� <br /> 3/27/90 <br /> / <br />