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CITY OF EVERETT � /Y �/.� <br />ELECTRICAL WIRING PERMIT aPPLICATION <br />�., JOB ADDRESS �015 9 7N f1 ✓E Gt� <br />DATE / � Z � <br />FEE 3 S'� <br />TENANT — <br />PROPERTY OWNER �EZE�-! Ok-FS <br />G 1��� <br />ELECTRICAL CONTRACTOR G � �- €���� <br />- - ., _ i .��,,,.,,,,. 9khR�.3�Z� <br />CONTRACTOR'S ADDRESS <br />LZCENSE N0. L �EGE� �` ����G3 <br />ADMINISTRATOR _��,/� rnA� F� <br />VALUE OF WCRK <br />(for commerical work) <br />CITY <br />ZIP <br />EXPTRFITION DATE �� R/� <br />PHONE N0. � ��� <br />(do not include taxes) <br />USE OF BUILDING ,V RES/DENCE <br />NOTE: WAC 296-46-140 requires that plans for el=ctriroved by theeStatelofaWashington. <br />institutional or health care facilicies ,e app <br />Applicants with such jobs must show the State approved plans before a r.ity <br />of Everett permit wi11 be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WpgK TO BE DONE: <br />_ . l�i�i�% 200li- <br />� <br />:i <br />SIGNED: -G(/'ay�,t1 � �Y��'�'�� 4 <br />3/27/90 <br />DATE: /O 2 S O <br />V <br />