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CITY OF EVERETT � <br />ELECTRICAL �4IRING PEAM2T APPLICATION <br />JOH ADDRESS �� <br />TENAIJT <br />PAOPERTY OWNEFt <br />ELECTRICAL CONTRACTOR <br />CONTRACT'OA'S ADDRESS <br />DATE (- �-- � j - j �C; <br />� <br />FEE 7 % �� <br />`7 /�/nh' l/ �� .(�U��Y ��L�� c.o ' <br />�5 �/�!�;, �L• �': <br />� <br />� / / <br />f�/,1�.K,� s C '�ig-�:-.'ir'n� %l<c <br />�T '�'Y / <br />7 % ��/is�h,� // �. � %••/C'N <br />�.�ns 6— <br />2IP � <br />LICENSE NO. �,fk'iN.cZ��F 7�iG�S� EXPIRATION DATE <br />ADMINISTAATOR � . PHONE N0. � 5 �'� — ? �/O11 � ' <br />,-- <br />VALUE OF WORK �� C% G��' ^� (do not include taxes) <br />(for commericel work) <br />USE OF BUILDING /�� 5�/lr' Y�'i5'� / <br />NOTEe WAC 296-46-140 requirea that plans for clectrica: work at educational, <br />inetitutional or henith care iacilities ba approvad by the Stata of Waehington. <br />Applicante with such jobe muat ahow the State approved plans bafo're a City <br />oF Everatt pe=mit will be issued. <br />NOTE: Wirinq in non dwellings is required to he in conduit. <br />WOAK TO BE CONE= <br />SIGNEDz <br />3/27/90 <br />��/,� L <br />� <br />DATE � L' " / 3 ` % �� _ <br />