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CITY OF EVERETT DATE Lf ' %�..' 1 (i <br />ELECTRICAL WIRING PERMIT APF'_ICATION <br />JOB ADDRESS 132 q 7c, `1 c —T. <br />TENANT <br />PROPERTY OWNER <br />7- <br />ELECTRICAL CONTRACTORS 5A:'LC <br />CONTRACTOR'S ADDRESS <br />LICENSE NO. <br />CITY <br />EXPIRATION DATE <br />ADMINISTRATOR PHONE NO. j •�i?�I <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING j - R, <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 />1001. IR I <br />/DD H m <br />SIGNED: I Ik orCk- A(atom+, <br />3/27/90 <br />DATE: 6 Z J 4e) <br />