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CITY 0!' EVERETT <br />ELECTRZCAL WIRING PERMIT APPLICATION <br />�OB ADDRESS <br />TENANT <br />PROPEATY OWNER <br />� <br />T s,� <br />f .{t ; iTjC.. ._ 30 %� <br />DATE N � 1 �/ <br />FEE �S � <br />S( <br />ELECTRIC.'�L CONTRACTOR (�kna� L-'7�:c //J� <br />CONTRACTOR'S ADDRESS "I � ��� �SUL� f�� �U <br />CITY ZIP <br />LICENSE NO. ,�C I � aL (>>Z� ✓�. � EXPTRATION DATE � /Z� 3I "�� <br />ADPfINISTRATOR __ ___ P}IONE NO. �D� 3 S` 3 S� <br />VALUE OF WORK <br />(for cortunerical work) <br />USE OF SUILDItiG � F � <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care Pacilities be approved by the 5tate of Washington. <br />Applicants with such jobs must show the Slate approved y�lans before a City <br />of Everett permit viill be issued. <br />NOTE: Wiring in non dwellings is required to be in conduii:. <br />WORK TO BE DONE: <br />SIGNED: <br />3/27/90 <br />G'/ x' Gtli%. <br />YiGC/ �.--' <br />DATE: i�� �_ �/ <br />