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� � <br /> CITY OF EVERETT DATE �-����'J� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE � ���° <br /> aoa nnn�ess �DO��C �'�S�LGZ�I� � l-n ^�' `fp �- `{2 ti � <br /> �� <br /> TENANT ��r��� <br /> PROPEATY OWNER, - � - � P <br /> ELECfRICAL CONTAACfOR _� � 't"- �R G � Y �G � <br /> . . , • <br /> CONTRACTOR'6 ADORESS / 2 - /����-i� � � , l.'�i�iGdiJ r �dh' �.�L�� <br /> CITY 2IP <br /> LICENSE NO. /�E �',Sfy 6XP2RATION DATE � <br /> ADMINISTRATOR .� �j � .',� S' Q/�/I ruoNe No. -S�S.� -3 7 S 3 <br /> VALUE OF�WORK ��/�Z.OU � (do not include texee) <br /> (for commericel work)r <br /> U&E OF, BUILDING 0�j I�Ci+ �LD S� <br /> . D_ <br /> NOTEe WAC 296-46-140 requirea that plane for electrical work at educational, <br /> inetitutional or health care facilttiee be approvod by the State of Washington. <br /> Applicante with euch ;oba muet ehow the State approved plana before a City <br /> of Everett permit will be iaeued. <br /> NOTEf Wiring in non dwellinqe is required to be in con�iuit. <br /> WO TO BE DONEi <br /> ,L �� , lv ��� ��. s <br /> ir ii /-� �//� �, r� n� ✓ �S <br /> ILP. �...�<'A-�C� 4' ./! �i�l '� .�7w�1 �c17�' Lc 7`'� � <br /> SIGNED� e�--"( � � . ��� � <br /> , DATE: 1 � <br /> 3/27/90 <br /> 1 <br />