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CITY OF EVERETT DATE <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE 40 <br /> 45 <br /> H <br /> JOB ADDRESS io L fco: l! PL MA.Ak9 4 3Z <br /> n TENANT <br /> H b , �+ C �+ <br /> ^A �"H9 PROPERTY OWNER {�-VSLq <br /> ELECTRICAL CONTRACTOR e-mcO JN rC��1I Y I�L• (� - <br /> o "t7 : ' i I �1 C I I , _ <br /> Z OE CONTRACTOR'S ADDRESS 23� c-64--1 F- ANI�l T ._ (ZIPI Lg2Q� <br /> �- COY CITY C <br /> y y LICENSE NO. LID 115 O^7 D EXPIRATION DATE <br /> 7' -� 'U 11 3 <br /> tt7" CAH <br /> ADMINISTRATOR <br /> BE IC ,- &NE PHONE N0. lO 7j C.-fO <br /> n �N <br /> t7s VALUE OF WORK (do not include taxes) <br /> Z HCA (for commerical work) <br /> HON <br /> USE OF BUILDING <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 Washington. <br /> Applicants with such jobs 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 in conduit. <br /> WORK TO BE DONE: <br /> SIGNED: DATE: — <br /> ACn l j AT 2�g-W 3 <br /> 3/27/90 <br />