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CITY OF EVERETT <br />ELECTRICAL WIRING PrIUM APPLICATION <br />JOB ADDRESS /('4 - ':�� ✓�� � <br />PROPERTY OWER <br />ODNPRACLOR' F3 ADDRESS <br />2m, CC(^rYgJ<_ <br />Gp r-C <br />r <br />DATE .i. -`0 <br />FF-r _yS.0U <br />LICENSE NO. C. _ EXPIRATIM DATE <br />ADMINI.STRAMR Ali PHONE N0. 2 s 2 ;`36 <br />VALUE OF NORK (do not include taxes) <br />(for mmercial work) <br />USE OF BUILDING 5r/"�- <br />NOTE: LAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of <br />Washington. Applicants with such jobs rust show the State approved <br />plans before a Citv of Everett permit will be issued. <br />WEE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE <br />SIGNED: �'.Yy a� DA= <br />12/15/89 <br />,.y <br />