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�F <br /> I <br /> � e�e��p <br /> . . ! <br /> � � <br /> I <br /> �� li <br /> � onlr .S 2�' 9 / <br /> CITY OF EVERGTT Q G, � <br /> FEE�`�_ <br /> ELGCTRICAL WIAING PERMIT TPPLICATION /, � �,e I , <br /> � � ��� S�5= 7/�. 2 <br /> JOB ADDRESS ��� 3 � �p5/�� 7 / <br /> ~ �I'�/7 Sl/o.v � 3r d f ?NC <br /> iO -�^ . <br /> 9 H N TENANT L.v a S /v t <br /> �! �~ � <br /> n PROPEftTY OWNGR �d G /N <br /> y�1 i / / i <br /> � y�y BLECTRICAL CONTMCCOR �_ _LI I�SLhA � -/ � � <br /> {k Z i CONTMC7'OR'S 11DDftESS KO r � � 3 7�n 7 stn //// //4 • C��/�� 7IP • <br /> `=1 y`*J <br /> � t�V� LICENSE NO. C��W�'�7N S� �3yc6 EXPlMTION D�T6 '(D'z y'��J 9 y I <br /> �y �"� I�DMINISTW1TOti �eNNIr �. �AYfR PIIONR No. 3S'2 �953 �i <br /> t' y� <br /> H c.O_ <br /> � y V11LUE OF WORK /Z(�GU` (do not include taxes) <br /> �a y (£or commerical work) ' <br /> �y��j USE OF DUILDING /L S�/N�' LG 6 �� U/-F/ C e <br /> H O tn '— <br /> NOTE� WAC 296-46-140 xequires that p1anR for electrical work at educatlonal, <br /> inetltutional or healtli care facilities bo approved by the State of Wasl.i.ngton. <br /> Applicante with auch johe muet sl�ow the State approved plans beLore a City <br /> of Everett permit will be iesued. � <br /> NOTEt Wiring in non dwellings ie require�3 to be in conduit. <br /> I <br /> K_ _ <br /> ��— � � � <br /> WpyC TO BE DONEs � <br /> 1� 1 ?Ns 7�� I� S� .- u i � �P Fo �Gu o fi �i,•... �G�s <br /> ' �Rl� v0 � / /L/ Q� 7� /1 (/�J X /-»�.r r �o�✓ � <br /> '� _ _ <br /> II � � c �' <br /> ��� <br /> � � �f � / DATEs �- Z ���/ <br /> �I ' SIGNED: � �'� <br /> � • <br /> � � <br /> I 3/27/90 <br />