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� <br /> .,,.�; <br /> � <br /> l <br /> �.... <br /> - r <br /> I <br /> �W �0 . w'w�, . I <br /> [�tl� <br /> � CITY OF EVERETT DATE--.7/���%i <br /> q � p•-y <br /> ELECTRICAI. WIRING PERMIT APPLICATION FEE � <br /> ��y� � <br /> 'il H 'tl J09 ADDRESS — .��/ ��_/ �/ �?dN /� , � � ���1 <br /> H i <br /> yp�y � TENANT <br /> [4 Q �� <br /> O H PROPERTf OWNEA � / lA / J> o�•.,.•j� <br /> Q�� ELECTRICHL CONTRACfOA �/(����2. � <br /> >H� CONTRACTOR'S ADDRE55 /S/� J3i0oAO.�A _ �i//' 7- 9cY'L '/ <br /> r1� � CITY ZIP <br /> M <br /> �!A LICENSE N0. - <br /> EXPIRATION DATE � <br /> �� ADMINISTRATOR PHONENO. 33�- /S z�� _ <br /> N <br />' VALUE OF WORIC (do not include taxes) <br /> (for commerical wozk) <br /> USE JF BUILDING � � <br /> . . � ��ctin wt � �..>ic ic Ci � � �y � .�i � (, <br /> 1 ����— <br /> � ,.'�. - � NOTE: WAC 296-46-140 requires thac plans for electrical work at educational, <br /> � �`�,��. � � � - institutional or health care facilities be approved by the State of Washinqton. <br /> ,� " �;�_ � Applicants with such jobs must show the State approved plans before a City <br /> '�s+. ,. . '�-,' . � of Everett permit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> ���� WORK TO BE DON2: <br /> C� L .lb� /i��0! �r.._ �^ � � ��14r � f '1 <br /> � ✓ � y� /��� <br /> l /7�' l <br /> � <br /> .I ` _�._.�_. <br /> � <br /> ��_ / �:. <br /> I�I SIGNED(�� � / �✓"�..Z�- � <br /> �,�' r� DATE: / <br /> � � i <br /> l ��� <br /> t <br /> � . 3/27/90 <br />