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CITY OF EVERETT <br /> �'"� !�i onx� u�v 1 � � <br /> gyECTRICAL WIRING PEAMIT APPLICATION FEE <br /> JOB ADDRESS IQ/D W�s; L�<JS i/JG �L7 �- �t �E� � <br /> TENIINT /V /I� <br /> PROPEATY OWNER ��I �'l ,�'I�� N /C) /N C <br /> ELECTRICAL CONTAACTOR <br /> CONTHACTOR'S ADDRESS � �c'�O`� ' J I S i� I/E cS�t �I Nr E lLf �` • ZI7 O�/�7 <br /> LICENSE NO. � h/ NA N /aF �G9�K EXPTItATION DATE � 7� � — 9 Z <br /> ADNINISTRATOR �S 4�US N.E.E�NKJ PHONE NO. L�6 I ' I�I� � <br /> VIILUE OF VIORK (do not include taxes) <br /> (for commerical work) � <br /> USE OF BUILDING N/A ��� ����� �Y ���C � OCE _ <br /> NOTE� WAC 296-46-140 requiree that plane far electrical work nt educational, <br /> inatltutional ar health care facilitiee be approved by the State of Washington. <br /> Applicants with euch jobs muet ehow the Fltate approved plana before a City <br /> of Everett pexmit will be ieeued. <br /> NOTEi Wiring in non dwallinge� is required to be in conduit. <br /> WpgR TO BE DONEt �� <br /> - �� no/'z Jz` /oL(l�IZ /"O L.L`' <br /> -fzji� �'o�silz[J�T/Oti] S� i E <br /> �/ �� �- /- 9/ <br /> � �-�-- / ��S � DATE t <br /> SIGNED� <br /> � 3/27/90 <br />