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y <br /> wM� <br /> '' 1'L ,• ' <br /> 00 <br /> C <br /> z DATE <br /> QyCITY OF EVERETT i,!„�•' I <br /> FEB <br /> H A 8 ELECTRICAL WIRING PERMIT APPLICATIOtI <br /> n. O <br /> �y1J013 noDnrse /3_2 bo?`4 AL, SE <br /> �y Hy <br /> O W H TENANT .` <br /> nt,�rn • <br /> t� PROPERTY OWNEREd <br /> sELEGr Nom r <br /> P3 0 W ELECTRICAL CONTRACTOR Iw EI.�G'�RIG rl,IG• <br /> CONTRACTOR'S ADDRESS �o• . K 3�'Zy- �ICwtkdD CITY Q3 ZIP <br /> 7� LICEIISE ITU. Lu•..ELPf�k b 3 EXPIRATION DATE <br /> PHONE 140. <br /> ADMINISTRATORr ^ MAW= <br /> QUq_9976 <br /> VALUE OF WORK Ido 't include tnxae) <br /> L' <br /> � (Cor commerical work) <br /> i <br /> USE OF BUILDING i1P&1 ' 00.E - <br /> NOTE WAC 296-46-140 requires that Plann for electrical work of educational# ; <br /> ��C♦ inatiiutional or health care facilities be approved by the State of Washington. <br /> Applicants with such jobs muni allow the State approved plans before a City <br /> =i. ,• <br /> of Everett Permit will be issued. <br /> 'mss' NOTE Wiring in non dwe111n9e is required to be in conduit. <br /> WORK TO BE DONEI <br /> 2ov A.--P i <br /> � �•,���� SINGIk ��� -- . I <br /> ru v <br /> F.IGNEDI W.,..PtA- Q. //IA�V�'`'d- DATES Ill q� <br /> I � <br /> I <br />