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� � � <br /> b <br /> A M ,1� <br /> i � �i m �„y� �A" DATE I / �I�D <br />' H � = CITY OF EVERETT . <br /> K � FEE •''(',c <br /> O m O ELECTRICAL WIRING PERMIT APPLICATIOti <br /> �+p M �V <br /> N H�+ . <br /> Z i <br /> �.: <br /> � � b JOS ADDRESS �`7/ � � i� i�2 -� 'i c�( � <br /> � /i �i <br /> O H i <br /> � � �j TENANT � L_C(.�,'.i'"i ��i i r' i��.ci_.;�' <br /> M O �—, <br /> � H � PROPERTY OWNER � � � �C�� - � ( 11 � �� �C, i � <br /> N y <br /> �j O N ELECTRICAL CONTRACTOR '\ �n . � i C GZ �� I� �' ���F{ _ <br /> � `� r� l �,;. (�C�( <br /> � CONTRACTOR'S ADDRE55 � � ( �. ��-' t.��� ..�:'�, � 1 M� � � ,l i 1 �r ��`, i � <br /> y CITY ZIP <br /> � ..���_� .. <br /> LICENSE N0. �-�1�1�- Y� ` �.I �'� ��i1�'>I�� EXPIRATIO[d DATE � � ,.a� <br /> i� <br /> PHONE NO. ::��i - ,:Cj�' ' � � <br /> ADMZNISTRATOR � ' � ' ' ^ � ' <br /> f <br /> VALUE OF WOAK " '� �• �t�� � �' � (do not include taxes) � <br /> , w{' <br /> (for commerical work)� � . ' <br /> . { � �,/ � _ � <br /> , �n• • ' IrJ I I � _ �', i <br /> USE OF BUILDING � �� - �- ' � � -� � • '� � — <br /> , - ��'y'i� .. <br /> � . `.�, <br /> C.OTE: WAC 296-96-140 requires that plans for electrical work at educational, . k.�r ' <br /> �-�' institvtional or health care facilities be approved by the State of Washington. _,f - , <br /> � ���^ Applicants with such jobs must show the State approved plans before a City . <br /> of Everett permit will be issued. k` ,�'`t <br /> I • � <br /> NOTE: 'v7iring in non dwellings is required to be in conduit. x � � c �; <br /> ,.' � <br /> I „' <br /> � � <br /> 1 r <br /> 1� _ <br /> i <br /> � � WOAK TO BE DONE: �� '�`� t?'� <br /> ,�i� <br /> �.. <br /> '�� .✓N2-c O�_ ' !� ' <br /> ,�. l a Y�s+.f J. <br /> � _I�' ,-�� .. �. . <br /> �,d <br /> � <br /> / �� � <br /> y ' ' � <br /> __I ` <br /> I � <br /> 1 q <br /> ' SIGNED: � !/ �4 /���"Z7 � DATE• <br /> �1��. <br /> 3/27/90 <br />