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'i <br /> u <br /> �.':s^y ', ..-_s� <br /> i � i <br /> � <br /> � i <br /> �, CITY OF EVERETT �� ,�._..y DATE i �9-� �U � <br /> ELECTRICAL S4IRING PERMIT APPLICATION FEE <br /> �tC„li� JOB ADDRESS '>c/� LcZG7<=c'�C -�7`7-� L ,'/•��c/ t <br /> AJ�"'y.0 : TENANT .�=:��t-�i%S7 .i-'✓.J�Ur <br /> r�� PROPERTY OWNEX — <br /> K y� ELECTRICAL CONTRACTOR />L=777/1. �YL-r�=-- l /•���37t�� .�lW, /,iJG:-) <br /> O x0 f+ <br /> � yH WtITRACTOR'S ADDRE55 _3�>.� ��', i'i�'-�- ����/71i�-- %J',o� <br /> � CITY ZIP <br /> x <br /> O H d�y ' LICENSE N0. ��"����/� �y� G?��7 EXPTRATION DATE � //- /'`L '1`� I� <br /> 4H]�C� � ADMZNISTRATOR x�Yi} C�.Gt-7 PHONE N0. '�73, 7�yG� �� <br /> xy� � <br /> y x VALUE OF WORK �o�- aU (do not include taxes) <br /> r HH (for. commerical work) <br /> ����yyy y <br /> d� � USE OF BUILDING T��l�l/C� <br /> � �� � <br /> NOTE: WAC 296-46-140 reauires that plans for electrical work at educational, <br /> �-3 O c�i� � institutional or health care facilities be approved by the State of Washington. <br /> � � Applicants with such jobs must show the State approved plans 6efore a City <br /> of Everett permit wi11 be issued. <br /> . NOTE: 4liring in non dwellings is required to be in conduit. <br /> i <br /> ;`_ <br /> p ' WORK TO BE DONE: � <br /> t� O.CJ �/1.3 L'i �' <br /> /��� <br /> � /.US�.as-c-- � 3 Oi�c� /L%.c.e'�J'�— ._y4,�Js- G�:e� �. <br /> `� � , <br /> �� � c�� "�P1�c >1v✓' �A�vC/'v -- - � <br /> ��� <br /> ��p <br /> 1_�'~' 1 <br /> //�, / I <br /> ,v'�,' SIGNED: ( il�v � L/bcl�— DATE: �7-�1�� , <br /> � � I <br /> j <br /> ���� <br /> � 3/27/90 <br />