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CITY OF EVEAETS. . .. DATE P�L�ZI I%"�O <br /> ELECTkL'G1L WIRING PERhIIT APPLICATION FEE � � O� <br /> JOB ADDRE55 �l'7 \\ �. C�{��. `-'U C�'.C� . �1`� � <br /> TENACI': <br /> rxoPsxx�r owrrsx �A2�c.� PKJ�1'1.7� <br /> ELECTRICAL CONTRACTOR �d"�- �C� <br /> CONTRACTOR'S ADDRESS � �� �Tcf��(� � <br /> CITY 2IP <br /> LICENSE N0. - EXPTAATION DATE <br /> ADMItdISTRATOA 2HONE N0. �S L��� J ' <br /> VALUE OF WORK �>cJ� (do not include taxea) <br /> (for commericnl rroskl <br /> USE OF BU2LDING t��,,'F�7-l�(�� '�� �� — <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washinqton. <br /> Applicanta with such jobe must show the State approved plans before e City <br /> of Everett permit will be issued. <br /> NOTE: Wirinq in non dwellings is required to be in conduit. <br /> WOAK TO BE DONE� <br /> � r i t C'�� N Ih'�-� � �'�l.) l Q..� <br /> SIGNE�)t '� _ DATE: 1`'Y�I L 3a � ���/ <br /> 3/27/90 <br />