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_ �� <br /> � ,., <br /> """"� <br /> ���� . - -� <br /> � � �► <br /> �! CITY OF EVERETT DATE �- /�� `j' � <br /> � / � � <br /> � ELECTAICAL WIRING PEAMIT APPLICATION FEE� <br /> � � �6�00 <br /> � � / <br /> � aoe a�nxEss �DO 3 l.+��s f C a s i.� o iPd �Jv�� y� "U � o'oo�f-/lJ,� <br /> �� TENANT A�i�✓� .. <br /> O� PROPEATY OWNER /�OP_�N,4' ��. <br /> Gq /1 � / �� / <br /> �•� ELECTRICAL NN:RACTOR �{//�/I.C / .fG1�NC�ar� �T/rrber CO � <br /> �M � CON'fRACTOR'S ADDAESS �/�, /4UX 37GY .SL�er//.4 "l/4� /0�2f�G2�f� :J <br /> �« CIT ZIP <br /> N� LICENSE NO. C I' W F � S ry /?�/�'+ � EXPIRATION DATE �-Z'�� I9�2 t�' <br /> O w ' <br /> ADMINISTRATOR PHONE N0. �Y� 7JS 3 ' <br /> VALUE OF WOAK �'�2/� �o O %� (do not include taxea) �� � <br /> (for commerical work) <br /> USE OF BUILDING //'/�N .i /�ne�l�`l�- i�, � <br /> NOTE: WAC 296-46-140 requizes that plans for electrical work at uducational, _ <br /> inatitutional or health care facilitiee be approved by the Stete of Washington. <br /> Applicante with cuch jobs muat ehow the State approved plane before a City <br /> of Everett pecmit will be iesued. <br /> . NOTE: Wizing in non dweliings is required to be in conduit. <br /> � WORK TO BE DONE: � • <br /> �� � <br /> i <br /> i � <br /> � �� <br /> � �� <br /> ' —� �'���9% <br /> ( �� SIGNED: � DATE: <br /> � <br /> r <br /> I <br /> ��. <br /> �� � � 3/27/90 <br />