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i <br /> JDA <br /> CITY OF EVERETT DATE <br /> HhCHh N <br /> k n ELECT:SCAL WIRING PERMIT APPLICATION FEE ZS <br /> HA <br /> pC O ^ ,.�(� <br /> to tA JOB ADDRESS I Z� (6L 1t PL . 'la S•/R 10GEAG OD W��it Z� <br /> y TENANT 1 <br /> PROPERTY OWNER �CY <br /> y y ' ELECTRICAL CONTRACTOR �A(QI��7 rL'I.��� 0 i �l• <br /> E W CONTRACTOR'S ADDRESS ALO 9 ' i zoro <br /> C13M rA CITY ZIP <br /> Itud E LICENSE NO. ND Is 3(•N' 0q�_ EXPIRATION DATE ' <br /> H H y7 '` <br /> ADMINISTRATOR PHONE��� PHONE NO. (.�'Z'O <br /> VALUE OF WORK (do not include taxes) - <br /> (for commerical work) <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 /> ' C .r Applicants with such jobs must show the State approved plans before a City <br /> ,i of Everett permit will be issued. <br /> ! I NOTE: Wiring in non dwellings is required to be in conduit. <br /> I. <br /> aft <br /> WORK TO BE DONE: n <br /> �1� �E.SL I) - �111-- lac 11�t)�•rrti� �V�-Gc <br /> f <br /> SIGNED: _ DATE: <br /> n <br /> Ac--t--AT j A j Z 8-819 3 <br /> 3/27/90 <br /> i <br /> ._.__ <br />