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Mri � <br /> ��� <br /> � CITY OF EVERETT '; �. DATE__�Q/�_ <br /> �••. <br /> ELECTRICAL WIRING PERMIT APPLICATION . . FEE <br /> JOS 11DDRESS . ` ��j�J� �/ �lh-��ZTI - - - - <br /> TeNarrr . ��,.�_C.��a.! _ F'n�nrt4{., U,[ L,. � Ga�,,r�S ' - " !�s <br /> FROPERTY OWNER S'�-W1� <br /> ELECfRICAL CONTRACTOR �����,J(�'�7„��(1(�l_� i ^NA G �X)C <br /> CONTRACTOR'S ADDRESS �+LrX� A114CI-���� ALI��U1J`Q �l.L�, Sci��-�F.� �OC� <br /> CITY ZIP <br /> LZCENSE N0. ECA(� E"f��CVZSIOZP$ EXPTRATION UATE � l�fU�q(� <br /> ADMINIST[tATOR f�1I1,I1�P. MGrYIm2D/G PHONE NO. I �`� �LI�3BF7� <br /> � VALUE OF WORK c� �('o.[�� (do nat include taxes) �, ,� � �' <br /> (for commerical �.rork � <br /> USE OF BUILDING �OS,�CI�L - ___- ' , <br /> NOTB: WAC 296-46-140 requires that plans, for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> Applicanta with such jobs mu3t show the State approved plans before a City � <br /> of Evezett permit will be issued. . <br /> NOTE: Wiring in non dwellinqs is required ta be in conduit. <br /> i?ORK TO HE DONE: <br /> • F_�i.;,A��,� Gl�D2 IJ�IZSE [/,�l,t-4 .cT�� <br /> ('.�.l�f�c{' �IAIUr-sC �,�� 6l ��{'Q�_�{,},L. . e�' }3i'»[ . . <br /> i b <br /> �'1-//4l��� ,4 F B,�IN��Fo¢�+�t�".� R�� � �Z.+�i�(G. <br /> ! ' <br /> SIGNED: DATEe �C]e�', I IQ�� <br /> �/J�y ' <br /> 3/27/90 ' "" <br /> I <br />