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CIT� OF EV£RETT <br />ELECTRSCAL WIRING PERMIT APPLICATION <br />� <br />JOS ADDRESS � �d"��`-� ��` "�• <br />/� <br />DATE J- 9' / I <br />00 <br />FEE /n2 ` <br />TENANT <br />// � <br />PROPERTY OWNER / GI � , �U���t'��J - <br />/ <br />%%/'i✓`�� <br />ELECTRICAL CONTRACTOR /C �2�� �' � iL� � � � � <br />COI:TRACTOR'S ADDRESS � b����� ��N,'�- �""'��"� <br />CITY ZIP <br />LICENSE N0. /C����f-�S G��I'J�3 �� �/ E7{PTRATION DATE '�� -�� l y <br />ADMINISTRATOR � O Ai Gf.�/`�S i�J PHONE N0. ..J� ��� 3�� <br />VALUE OF WORK �� G D(j (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING <br />�Jmr� <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 issue3. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />SIGNED: �./LL''`il.' C '" ZC'v�/l/i�✓ <br />3/27/90 <br />�— "'��"�-u.L <br />DATE: �� I ' � �� <br />