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�. <br />CITY OF EVERETT <br />ELECTAICAL WIRING PERMIT APPLICATION <br />JOB ADDRE&S <br />G��dy — <br />DATE 3 3 e <br />ae <br />FEE�� <br />� � <br />TENANT �y�,�'j C A N S- 1 <br />PROPERTY OWNER ►y (_/ C�+_d� 9� �bN S 1 <br />E:.ECTPICAL CONTRACfOR J J��G� ��Q C�hI�G �n C. ._ <br />CONTRACTOR�S ADDAESS <br />LICENSE N0. 1JV�G��ZZ�b I <br />ADMINISTRATOA ��PaS [A! LV.�jd� <br />� <br />VALUE OF 470RK <br />(for aommerical work) <br />USE OF BUILDING '�� IL <br />EXPTRATION DA�re. � �,{ / I/�? l <br />T� <br />PHONE N0. .35.3 �Sd��L. <br />(do not include taxes) <br />NOTEe WAC 296-46-140 requires that plane for electrical work at educational, <br />iretitutional or heelth care facilitiea be approved by the 6tate of Weshington. <br />Applicnntn M�th auch joba muet ehow the State approved plane befare a City <br />of Everett pesmit will be ieeued. <br />NOTE� Wiring in non dwellings is required to be in conduit. <br />WORK TO HE DONEi <br />SIGNEDi <br />3/27/90 <br />