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r� <br /> r �s� <br /> '��� ""4� <br /> � � <br /> ���� ''"' � <br /> CITY OF EVERETT DATE�--=�-%� ?r��.lk� <br /> '9�I� "i, <br /> i— '% . <br /> ELECfRICAL WIRING PERMIT APPLICJITION FEE �l�'" <br /> r �± ''�. . <br /> �H� <br /> � c�. �ti � ,.�o R� — ,c%,-7",l� F,4/./ yn 1�Z , �,�,� c <br /> �y JOH ADDRESS 3�n -� � <br /> f! n } .�nf� <br /> p�� TENAtJT T C� P / � r• ' C�s��': <br /> �M ' " �t <br /> H PROPERTY OWNEA �•'7 f'_ i' / C.� -- '� rf� i�� <br /> �N ELECTRICAL CONTRACTOR �lj 'F sCn tfh.tr� �,��Y.r C n � , t z�'��ry <br /> a f10 , ����X 3 �G� S. �/ lUa. �,�/o f_ � '" .;<�� <br /> 0� CONTR4CTOR S ADDRESS i� ° <br /> ri rh oi <br /> � ° CITY� ZIP � '�k' <br /> �/ / � �` ��, <br /> LICENSENO. C�p /- �l`/O� S� ��/C6 ggplppTIONDATE � �:��_ � .i�, �� <br /> / . . . .. ... .,� . <br /> ADMINISTRATOR �l w!/C �. .R�%^ PIIONE N0. ,� l S' �U/� � <br /> �{/�7 e o <br /> VALUE OF WORK �J /.d O � —^ (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING �W U �PM�fJO /"n i �ti t / TRn��� . <br /> NOTE� WAC 296-46-140 requires that plane for elflctrical work at educational, �, ... , <br /> inetitutional or healtl� cere fecllitios be approved by the State ot Waehington. ;. <br /> Applicants with such joba muet show the State approved plana before a City � <br /> � of Everett permit will be isaued. ' <br /> � i <br /> �lNOTEe Wiring in non dwellinga is required to be in conduit. } <br /> I + <br /> ��� WORK TO BE DONE� �• <br /> ' rN 5 f� �� �/uwJS �vr �n�t ����/20 � <br /> �� <br /> , D.� c� /� . / � <br /> ��abr,l— - 7'wo /.�a [/ , ��.Y,� C_'ir c u .7�s, <br /> I __ <br /> I (� �� �� / <br /> I �� � SIGNEDi � _ DA'I'6: � — ���LL� <br /> � <br /> C� <br /> 3/27/90 <br />