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CITY OP EVEF°PT <br />ELECTRICAL WIRING PERMIT APPLICATION <br />i <br />.70B ADDRESS J 2 <br />TENANT <br />PROPERTY OWNER <br />�1�2i.9� /,/_SF� �'A/1�S <br />� <br />DATE �-�C� C�� <br />FEE ,''j�/_ S(� <br />ELECT2tICr1L CONTRACTOR __�'�?�F�/C�/t� �GEGT".P�C- <br />CONTRACTOR'S ADDRESS ���yQZ %L���' _S�C% .����f�j��� _ 9�%Cj <br />CITY 2IP <br />LICENSE N0. /-J/7%C/2I�7/'� I��L�% <br />ADh1INISTRATOR �i�%[�� // /�' (i-�f/��. <br />VALUE OF WORK ���CiO c o <br />(for commericaJ work) <br />USi OF BUILDING ���Q/2 �/,1(�T <br />EXPTRATION DATE � %- ��� <br />PHONE N0. "'(,F•� ��I��-��/QO <br />(do not include taxes) <br />NOTE: [4AC 296-46-140 reauires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants with sucn joHs must show tne State approved olans before a City <br />of Everett permit �vi11 be issued. <br />NOTE: [9iring in non dwelli.ngs is required to be in conduit. <br />F70RK TO BE DONE: <br />�.�1 >>D r�cc� 2.00 �� r� SF i� vr << <br />�'l��nT � rJ in n 1�= :,�1 .-1 GN i 1 r� (r �v[�S <br />SIGVED: <br />3/27/90 <br />�, n <br />DATE : % � �� � JU <br />