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, <br /> � <br /> � DATE ,- - ' '.�i <br /> � CITY OF EVERETT <br /> ELECTRICAL WIAING PERMIT APPLICATION FEE J"7 �� li <br /> � -_ � ` <br /> i JOB ADDaESS ''OO 3 W C AS/�YD <br /> � TENANT F <br /> � <br /> ; PROPERTY OWNER /� o G��r/G /�/•t C •.� 1!-f' C,a <br /> � ELECTAICAL CONTRACTOR ,�(,A'/GiNT fcHcc '!�-dA r_ /�/•'�•/?^� � — <br /> ! <br /> �+ CONTRACTOR'S AUDRESS CITY ZIp <br /> . <br /> } LICENSE NO. C�OI LNh 14� s�i I37 C ` EXPTpATION UATE � � � S 2 <br /> � _� -��y <br /> i ADMINISTRATOR PHONE I�O. � y Z��� <br /> � VALUE OF WORR � r� y 2 O (do not include taxes) <br /> � (for c:ommerical work) <br /> I , <br /> iUSE OF BUILDING .v /Q �'^� - � � C �'� ��� �� ' <br /> ; <br /> ' NOTEi WAC 296-46-140 zequirea that plana for electrical work at educational, <br /> inatltutional or health care facilitiee be approved by the State of Waehington. <br /> � Applicante with auch jobe muat show the State approved plane before a City <br /> � of Everett permit will be ieeued. <br /> � NOTE: �:iring in non dwellings ie required to be in conduit. <br /> � <br /> i • <br /> � <br /> f WpplC TO BE DONEi <br /> � � VC�/z G Ff'l/J C�C ^/ s�iY �L J �u.t' L�I t�G1".t'��..ii � <br /> � ZOON�^ <br /> ' i' ou,�.� -= --r �c'o�.v, _ c.di�l� rh',a � .�.�v c< <�.�ir T�' — <br /> ' 'Oiv <br /> f � • , i� /�t /O�✓ �/4v.' � io� <br /> i <br /> ; <br /> i <br /> ; <br /> � � DATE� (/�' 7i� —._�- <br /> � SIGNEDt �, � ��'��� <br /> � <br /> � 3/27/90 <br /> � <br /> I <br /> + . _ . ._. ..__ <br />