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—'"—.� <br /> . _.� <br /> � � � { <br /> � � <br /> AHU� // I <br /> Y� � DATE_ 7 -�T � <br /> �� � CITY OF EVEAETT �� <br /> � FEE�� <br /> � �j � ELECTAICAL WIRING PERMIT APPLICATION <br /> �� H 5�,-.��../ <br /> �x 3 �/�- /.C�r/ <br /> Qy � JOB AD'�RESS <br /> OH <br /> �� 8 __ <br /> � � TENANT <br /> 'r '� � PROPGATY OWNER <br /> ��� G ,�,�� u�--_ <br /> �,° ;� �, .�I�i r�l.L <br /> /C-6L��s �i,�✓ � � �i � ��z-o/ <br /> ty y y ELECTF2ICAL CONTRACTOA ��Q <br /> n�w �pS � �� ZIP <br /> CONTRACTOR'S ADDRESS �� CITY <br /> �O� . �/�q ia,/5 / I�3 I�LGG�� BXPIAATION DATE ��a� <br /> LICBNSE NO. L.IYiY��� �� � 3�j � 3 C / <br /> � �,��5� PHONC NO. � ` � <br /> ADMINISTRATOR <br /> (du not include taxes) <br /> VALUE OF WURK <br /> (for commerical work) <br /> I USE OF BUILDING S/ r�S� <br /> ��.��c�C= <br /> . roved by the State of Washington. <br /> NOTE: WAC 296-46-140 =equires that plans for electrical work at educationa , <br /> institutional ox health care £acilities be app <br /> Applicants with such jobs must show the State approved plans before a City <br /> - of Everett permit will be issued. <br /> ���� NOTE: Wiring in non dwellings is required to be in conduit. <br /> t <br /> { —�'- . WO�( TO BE DONE: �� . <br /> I ` U U /��� �.e�✓V�L-e- <br /> � <br /> I � <br /> � <br /> ��'- - <br /> � � L � �L�Git-'-v�' oaTe: 3 '__ e�%!�— <br /> � �L�w <br /> �I� SIGNED: <br /> I <br /> \�1� <br /> 3/27/90 <br />