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CITY OF EVERETT <br />ELECTRICAL 47IRING PERMIT APYLICATIGt7 <br />/ <br />�AT� �, � <br />FE6 <br />, �� . , . , (' ' j `, ! !_ ! (� C � <br />J�B ADDRF:SS <br />y� i _.1- <br />TENANT / �' / l -. J : 1� I � . ;•� <br />PROPERTY OWNER ��F�'� <br />�+% CCC�r,'�c <br />ELECTAICAL CONTHACTOR ,� ,_ _ <br />/ "n k 1 % ('/ !'' � �/� / ^ %, , � t `_ . _ - <br />� n � <br />CONTMCTGR' S 11DDRESS �ITY 2IP <br />/ `. <br />✓ y��� � <br />LICENSH NO. l�����r�9 ���'����_=� EXPIRATION Dt.TE y <br />PNONE NO. (�'� � ���� � <br />ADMINISTMTOR � L-�� �'/"-�— <br />� <br />VT.LUE OF WOAK (do no[ include tax��,) <br />(for commerical work) <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical woik at educational, <br />institutional or health care :acilities be approved by the State ot 47ashinqton. <br />Applicants witt� such jobs must show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwcllinys is required to be in conduit. <br />WpRIC TO BE DONE: <br />1 <br />SZGNED: ( <br />-"n.� � . f / .%_, . � onTe: — �- ' `� <br />/ <br />. J/27/90 <br />