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,U uJ C U olo *� G 715ow <br /> '"� r-. <br /> CITY OF EVEAETT DATE�P� / y(� <br /> �.� <br /> ELECTRICAL WIRING PERNLLT APPLICaTION FEE 3 O � <br /> JOB 11DDRESS �O� WPS� CQ 5/�t� ��. �-F�' �� �� <br /> Ter�u�rr .e�� o� Co�,.� .�. ��� �a I Q� �dla � -e. <br /> PROPERTY OWNER �O��n o� L OL+� .+a e�.r �a � �`F I ri rO/R Gr <br /> er.ecrxscnc mrrrEwcroa A�o.�F I��.,esfi E (r�-�-i.<< C� . <br /> ODNTRACTOA'S ADDRESS l 3(93Z �C (77 rN��. I�oaO,�,�i,ll.� y�07Z <br /> , ' • CITY ZIP <br /> LICENSE N0. IVDIC TT► EC STIJIL � E7�TAATION DATE I Z � <br /> AWlINISTRATOR NOhNrqa� �VO1� . PHONE N0. I-{ �j /-OZZZ ' <br /> � VALUE OF WORK �O �O��O f a ��P v-��� (do not include taxes) <br /> (for commerical work� <br /> USE 0£ BUILDZNG �Qv�7rG � STOvAG� ZiU flll L <br /> NOTE: WAC 296-46-140 raquires that plans for electical work at educational, <br /> inetitutional or health caze £acilities be anoroved by the State oE Washinqton. <br /> Applicmta with such joba must show the State approved plans befdra a City <br /> of EVerett permit will be iasued. <br /> NOTEs Wirinq in non dwellinqs is zaquired to be in conduit. <br /> WOAK TO BE DONE: <br /> �F_i� he��,c, ca �l� i� Sfollaf�oti -�c,o�,�., ,00-foG, <br />� �1LEi�e. l -�n .�a -�u (n � v�.g / <br /> SZGNED: 'Yf (,/��'Q�ci "`^ DATE: <br /> 3/27/90 <br />