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x CITY OF EVERETT DATE <br /> [*79H ELECTRICAL WIRING PERMIT APPLICATION FEE <br /> .O <br /> Com' H JOB ADDRESS I Iy �a ISS`C\. S•t <br /> H4 <br /> TENANT �+ <br /> y PROPERTY OWNER L -'-91•w l o Sic"A:a It <br /> H rg (� <br /> OM ELECTRICAL CONTRACTOR e L �l Ch CSC •�..•pC. <br /> H d c <br /> W CIS CONTRACTOR'S ADDRESS I Iaoq �Bµ � N :�% l.k C' <br /> G:• (] CITY ZIP <br /> > ''3 LICENSE NO. 'C EL1:� IIa GLC.. EXPIRATION DATE <br /> ONH ADMINISTRATOR (•'+c c_rSLc-r �l 1 ••m Sn PHONE N0. 1334-648 <br /> r <br /> C] 0 <br /> 3 t+1- VALUE OF WORK (do not include taxes) <br /> 0, (for commerical work) <br /> H O En \\ <br /> if USE OF BUILDING QrSA!Lyw C� <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 allow the State approved plans before a City <br /> of Everett permit will be issued. <br /> �-J NOTE: Wiring in non dwellings is required to bo in conduit. <br /> �►1 WORK TO BE DONE: <br /> �! l� •ce QeSelld�n�C 'QM Am> -C to...I <br /> w s <br /> SIGNED: DATE: <br /> (0 <br /> 3/27/90 <br /> : <br />