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CITY OF EVERETT .— — DATE <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE <br /> Joa nncxEss .?..30 6 �DA R :ST EdE�� WA rl8'.�I <br /> TENANT <br /> FROPEATY OWNEA GRE4� �'�YL�EIJEy�NGE�II <br /> ELECfRICAL CONTRACTOA Ca tEG�NraERSbLL^ OWII�L� <br /> CONTRACTOR'S ADDRESS z3b6 GE�D.4�, -�r EdtltEli" Wr. 9 s-�l <br /> CITY 2IP <br /> ' LICENSE N0. EXPTAATION DATE,' <br /> ADMINISTRATOR PHONE N0. <br /> VALUE OF WOR1C (do not include taxes) <br /> (ior commerical work) ' <br /> USE OF BUILDING 'SFJAPI�7 A��T�+N ^ �+1 Vir1t <br /> _� <br /> NOTEs WAC 296-46-140 requirea that plana for alectrica2 work at eduestionel, <br /> inatitutional or health caze facilitiee be appzovad by the State of Weehinqton. <br /> Applicanta vith such jobs muat show the Stete approved plans before a City <br /> of Everatt parmit will be ieeued. <br /> NOTEe Wirinq in non dvnllinqe is required to be in conduit. i,� <br /> e,� <br /> � <br />' ��:� WORK TO SE DONE: ',, <br /> �;�fi ��T�U. rr.77�'s � �ess� s.,• , �s� ; h�ed�'�s - 3,�l,�l <br /> � <br />',i:;� <br /> ¢k��,' v7'�l�� c�Fs. �-7�7-• .�/ �C.�1,rm.�+ - Ex►��sr,&.►s �M �7L/oo,v1 <br /> Ik'i <br /> .,,�a. <br /> auC, �r:l�T✓ raewt /A/S7�ell Gas Fvrn4« .ttGrtW7.�Nk —�Y <br /> o�r'ltrl su�xl� -Pot Seu.,�c,� e��r - u�aslw� �tnr✓Q.r 2�Ja�� <br /> _�`' ' � <br /> � <br /> " SIGNED DATE� ', <br /> _": <br />�' ; li <br /> , � <br /> ;�u . <br /> �� <br /> ` <br /> ,:+ 3/27/90 ' / <br /> �t b�� <br />�: ' <br />