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CITY OF EVERETT <br />ELECTRICAL WIRING PERMIT APPLI <br />JOB ADDRESS <br />TENANT `��1/G, S ��ZZ//l— <br />PROPERTY OWNER ( 7L/K/ <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />DATE 1— a/ - // <br />UU <br />FEE // Z — <br />CITY ZIP <br />LICENSE NO. /q L /�U�y / CIS EXPIRA.TION DATE -- <br />ADMINISTRATOR It((-( (% PHONE NO. % �'Z. <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING Lrr'/ <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 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 />S E'r .S /V iU C"(-' C-bi / / J 11�'f /&��I <br />/Lq�X�-J 1<17—CAV --T- /6-4'f --, </'-/ s <br />DATE: /—.J/—/'/ <br />�39D5 <br />