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� <br />� <br />CITY OF EVERETT p+� �y DATE ��O'�_ <br />f M 1 � <br />EI.ECTRICAL WIRING PERMIT APPLICATI^N FEE� Zr7 <br />J0� ADDRESS C�OZ' U �i�('oK.GiAriLr .O�-✓/J <br />TENANT <br />PROPERTY OWNER ��SSLC G O�✓rr (. o �NC. <br />ELECTAICAL CONTAACTOA ����UN rGLN�L� �' �I <br />CONTAACTOA'S ADDRESS � <br />LICENSE NO. �LID �� �� �QO I-,� <br />� <br />ADMINISTRATORE�"'�ALI�_ ��L'_ <br />VALUE OF WORK <br />(for commerical work) <br />VSE OF BUILDING <br />gXpIRATION DATE � � � � l:� �� � <br />PHONE N0. �n 1O '� �J G—+lo <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requirea t.l�at plans for electrical work at educational, <br />institutional or heal.th care facilities be approved by the State of Washinqton. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett pezmit will be issued. <br />NOTE: Wiring in non dwellinqs is required to be in conduit. <br />WORK TO BE DONE: <br />7 <br />SIGNED: <br />-� Si�VE (��� <br />3/27/90 <br />G'o <br />cc -� ��' <br />DATE: <br />� � s�uiC�. i���-�► I� j 2� 8- £; 2� 3 <br />a <br />• � • <br />