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CITY OF EVERETT DATE �� iq-9 � <br /> � <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE .�j , <br /> � <br /> .roa �naEss _ (��� n� L►� D� �07� 7 �c� � �, 7��5 i�Zlr���` <br /> TENANT <br /> PROPERTY OWNER 'RZUS�CLI��(�.f': f`.I ���pl� .�. <br /> —�� <br /> ELECTRICAL CONTAACTOR Pn i �►2 E . �InL . <br /> CONTRACTOR'S ADDRESS I �^]�I Y�CG�(012 I�cd • �1/��2�n\ L}l14 . �;� <br /> CITY 2IP <br /> � LICENSE N0. I"OI 1'VT�.� ��-jQ �� E7�TTRATION DATE s-3 � -`l9 <br /> i - -' — <br /> ADMINISTRATOR CrF.N6 p0� µ7rF� PHONE N0. 3(�CJ -7rj'7 - ��C'b ' <br /> VALUE OF WORK � (do not include taxea) <br /> (for rommarical work) <br /> USE OF BUILDING NE�� 1�.`� I UENLF_� � �11U�IC tA✓►t� � 1J�,��_ <br /> NOTEs WAC 296-46-140 req�ires that p1�-,•, For electrical work at educational, <br /> inatitutional or health care facilities be approved by the State of Washington. <br /> Applicanta with such jobs muet show the State approved plana before a City <br /> of Everett permit will be iasued. <br /> NOTEs Wirinq in non dwellings is required to be in conduit. <br /> WORK TO BE DONEe <br /> • W 1 ►2L- n�SvJ 12�5 1 VJ6�JLC- <br /> SIGNED: / rn'►/1� Bwa� DATE: t' � � Q '97 <br /> —/�j i <br /> / �`-� �J <br /> . ) <br /> 3/27/90 <br />