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r_ITY OF EVERETT � . � DATE —,,�c�-- �� <br />J'-a o <br />ELECTRICAL 4iIRING PERMIT APPLIC�TION FEE�� <br />TOB �w��ss 1; U' (�7 7�' S i. <br />TENANT c�l✓�v.'."L <br />PROPERTY GNTIER <br />ELECTRICAL CONTRACTOR �1 (�N.� EL C c j`,ry � <br />CONTRACTOR' S ADDBESS _�(,�. �ij �j icsv i't�t9 /�(/C ��/�,.u� r �c� � U � <br />CZTY ZIP <br />LICENSE N0. /�LL��N�/(/�i7J�� <br />ADMINISTRATOR I � /t ��N.t�cf� <br />O J <br />V�LUE OF WORK S j� � <br />(for commerica7. work) <br />USE OF BUILDING ,/Zr,• G � <br />E�TRATION DATE � � � � <br />PHONE N0. � ��� -�- J �7V - <br />/ <br />(do aot include ta:<es) <br />AIOTF': WAC 296-46-140 requires that plans for elect=ical wosx at educational, <br />institutional or :�ealth care facilities re agproved by the State of taashington. <br />Applicants witn snch jobs must show the State approved plans be£o`re a City <br />of Everett permit will be issue3. <br />NOTE: t9iring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />!1/ <br />SIGNED: <br />3/27/90 <br />DATE : Y�/s. d ' �` C� <br />