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I <br />CITY OF EVEI OATS <br />_ pJ- <br />ELOCTRICAL WIRDrPERMIT APPLIC7MON g (� <br />JOB Amass r% lh3 r S. <br />PROPERTY QrIER C f/Lr S <br />EIBCTRICAL 0:)M7rlL 1OR <br />LICENSE No. %Gl �FZEXPIRMCW nA^ /a-3/- -5;?0 <br />ADMI171STRAEOR /_rE 2),Xr j PHONE NO. 2yC 33,W <br />VALUE OF FORK (do not include taxes). <br />(for canexcial work) <br />USE OF BUILDING <br />NOTE: t,MC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health came facilities be approved by the State of <br />Washington. Applicants with such jobs mist show the State approved <br />mans before a City of Everett permit will be issued. <br />t,10m . Wiring _* ; in non dwellinus is required to be in conduit. <br />ZeJS1� a- <br />SIGMED: ' G� <br />12/15/89 <br />,nay //�3e-moo <br />