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CITY OF EVEAETT DATE Y ���/� <br /> ELECTPICAL WIRING PEAMIT APPLICATION "rEE <br /> ��^c Y7 <br /> aoe r�oxsss �,-�� /Tl?/7�"/� S� SG(.� � /OC� EG4'��C{�t;:�6J � ����r� <br /> TENANT �/,H'l S�? P �'�c.'P,� — <br /> i PROPEATY OWNER /�'�/�(�C���-/ �S�Q�Pr� <br /> Ri.F.CTRICAL CONTRACTOR [ '' /( �B/ ��PG�f�/c 1 <br /> , CQNTRACTOR'S ADDRESS <br /> CITY ZIP <br /> ' LICENSE N0. L,C.C.�CLEI. �'�IC./JcC�> E%PIRATION DATE <br /> � ADMINISTRATOA PHONE N0. 7711i '— �3 O �J ' <br /> � VALUE OF WORK l�L,b.(�Ji , ve�� (do not include taxes) <br /> (foz commerical �,rork) <br /> • USE OF BUILDING / y /(�I._�.C�y� Ji`'f�✓� <br /> 1 <br /> � NOTE: WAC 296-46-140 requires that plans for electrical work at educa:ional, <br /> ' institutioral or health care facilities be approved by the State of Washington. <br /> : Applicants with such jobe 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 tn conduit. <br /> � WORK TO BE DONE: <br /> ' — — <br /> � <br /> � <br /> � SIGNEDs � � ,LL �-"'� DATE: � O <br /> G�� �r <br /> � <br /> i <br /> 3/27/90 <br /> I <br />