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CITY OF EVERETT DATE )- V-ft <br /> ELECTRICAL WIRING PERMIT APPLICATION PEE 1-7 7 v <br /> JOB ADDRESS '120 90 1Y S-141, (f <br /> TENANT 41 t) Li/-e e4t., <br /> PROPERTY OWNEA zo'e A/Ij <br /> ELECTRICAL CONTRACTOR f.ft 1c, <br /> OONTRACTOR'S ADDRESS Y9 1, <br /> CITY ZIP <br /> LICENSE NO. S EA 7,4 E EAPIRATION DATE <br /> ADMINISTRATOR PHONE NO. <br /> VALUE OF WORK -71 goo�!� (do not include taxes) <br /> (for commerical work) <br /> USE or 13UILGIND 6�( (I r-/4" 4.4 T <br /> NOTE, WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be appr3ved by the Strte of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be isaued. <br /> NOTEs Wiring in non dwellings In required to be in conduit. <br /> WORK TO BE DONEs <br /> a . Ir vw 4�a K, ..I <br /> X�d�f I I L,",I <br /> SIGNEDs 7n, ?P�k, DATE s <br /> 3/27/90 <br />