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4r •� <br /> CZTY OF' EVEAETT CAT_ 4 � <br /> - - O <br /> ELECTAICAL WIAINC PEAMIT APPLIGTION FEE <br /> JOB ADDAE55 . �L S I iZ C (p�) p (Q,�n,� <br /> TENANT . <br /> PROYEATY OWNEA 2c�nnc�e.A K.'. IC�i P <br /> Ef.EECTRLCAL CONTAACTOA o�„7✓� e f <br /> . <br /> fCONTAACTOR'S ADDRESS __,��d43 GI,��PI�..w(�. . <br /> , �� • CITY ZIP <br /> LICENSE N0. �� � EXPTRATION DRTE <br /> ]1DHINISTRATOA . . PRONE NO. . ��",��� ' <br /> • VAGOE OF P10R1C ' (do not include tnxee) <br /> (for commerical work) <br /> USE OF BUILDING � .�',,,,,,;�s Po r: �.,.c.R <br /> NOTE: WAC 296-46-140 requiree that plans for electrical work at educational, <br /> institutional ar health care facilitiea be apnroved by the State of Washinqton. <br /> Applicants with auch joba muat show the Stata approved plana 6efore a City <br /> of Everett pesmit will be isaued. • <br />� NOTE: Wirir.g in non dwellings is required tu ba in conduit. <br /> I <br /> I WORK TO BE DONEs � <br />� � � �r <br />,�� �..�..s tieo✓� .z�i�r.Pr-� _ /Vr�,.� e_ �.'r� tc�ro,.e1 o.i7` Li���.cF+ . <br /> i <br />� <br /> i <br /> �_ J ��� � '1 <br /> ��, SICNEDi Fy��r/l�,,(// �,«/� DATEz �`�" S'J <br /> � <br />, � ` <br /> i <br />�, � 3/27/90 � <br /> � <br /> � <br /> i � <br /> 1 <br />