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_.1.A10-L�1dUY.O'_T!. 'e:"•.' l .. l. . . . .,.riY�RlLlcl l4'il l'.. . .r al:ra.SJ .r:.e. . IF. h: .. • ,...... . <br /> CITY OF EVERETT DATE 70 ` <br /> ELECTRICAL WIRING PERMIT APPLICATION PEF. J + <br /> T <br /> JOB ADDRESS <br /> i <br /> TENANT _ <br /> c <br /> PROPERTY OWNER "4-a <br /> ELECTRICAL CONTRACTOR LZ (,k- ELFLTQ:L Zti(G <br /> CONTRACTOR'S ADDRESS <br /> CITY ZIP t <br /> LICENSE NJ. Lw-ELEJ:-/O t46-3 EXPIRATION DATE 2�Lg��12 <br /> ADMINISTRATORr�14 h���� _ PHONE No. 889- 92?6 � <br /> VALUE OF WORK _ (do not include. taxes) {� <br /> (for commerical work) <br /> USE or BUILDING -relW2 6?9V--/IC.E <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 WasP.:ngton. <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everet' permit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> H <br /> WORK TO BE DONE: <br /> t <br /> f <br /> j <br /> SIGNED: DATE: 6;411 <br />