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� <br /> I <br /> � <br /> 1� I <br /> '' '�' � ,�,,, / <br /> CITY OF EVERETT ' DATE '�O ' <br /> ��.�� �� ELECTAICAL W7RING PERMIT APPLICP.TION FEE (Q y.,5 D <br /> , ' <br /> � � JOB ADDRESS ZZ� I �1�� I <br /> �. � TLNANT I���l�—��'����� ��f' )I�R.T �I— � � � <br /> ' t <br />'�,�_,. � PROPERTY OWNEA � L..P4-I <br /> I�` ! ELECTRICAL CONTRACTOR T'YT��SI �AJC_ <br /> '�.. <br /> �..�-s�.T�'ic� <br /> i,.�'� �• CONTPACTOR'S ADDRESS C�:7 i� I �� ST ��1 � � D�� � , <br /> I CITY , 2IP II <br /> ; 1 LICENSE N0. I�F-�'�`-i-1�C� EXPTRIITION DATE %� I L , I <br /> . �--y, � � <br /> _+e� �• ADMINISTRATOA ��� ����G�`� J PHONE NO. �3�-23�� I <br /> i �N- <br /> VALUE OF WORK T 2���J (do not include taxes) � <br /> � (for commerical wozk) <br /> � USE OF BUILDIt•'G _�_T� — �F�M� �,�� � � <br /> I <br /> NOTE: WAC 296-46-190 �equires that plans for electrical work at eaucational, <br /> irstitutional or health care facilities be approved by the State of Washington. <br /> Applicants with si�ch jobs must show the State approved plans before a C.i.ty <br /> of Everett permit will be iss�ied. <br /> i <br /> NOTE: Wiring in non dwellings is required to he in conduit. I <br /> � <br /> WORK TO BE DONE: �' <br /> A-��-�n o �mP 5��� tc� i �'h�� <br /> �.i� D •�.1^r� A�M f� ��� ic� F��D�� '� , <br /> ; � . <br /> . � `�; <br /> ,, . <br /> � , <br /> SIGNED: _��� I��-'�� DATE• � I ' <br /> — I <br /> ; i <br /> , <br /> ' j <br /> 3/27/90 F <br /> r- <br /> i' <br /> _ _ _.--- .. _._ . ... . . ._.. _ .. ___._. . . .. . . . ._ . . . . _.-----.._.. . . '; <br /> i <br /> � <br /> ! <br /> � <br /> 1 <br />