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CITY OF EVERLTT PATE Ih"3-9 <br />ELECTRICAL WIRING PERMIT APPLICATION J FEE %/.- <br />SOB ADDRESS <br />TENANT . �8 &A _ n" G-)1t-- . <br />PROPERTY OWNER <br />ELECTRICAL CONTRACTOR bI 111-i r-tT CLrc, -TIyc <br />CONTRACTOR'S ADDRESS /39.2.0 Is Ut:nL4 rank R</. L AIA/ft oO 9Rnil <br />CITY ZIP <br />LICENSE 170. P07 NET /Z/CiIiE . EXPIRATION DATE) 53p1- 9 n, <br />ADMINISTRATOR CsFNF 1%I)7 NRv(' .. PRONE NO. %�/ �- J9��p' / C <br />VALUE OF WORK 226-,•S (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING CiF-F'iCF <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 befdze 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 />' • � I L �w � M � it <br />SIGfED: ln,7nCA,-,21e.. <br />I/27/90 <br />DATE: )n-3-q1 <br />