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HC]�ti <br />iD�pC <br />C H <br />9Hfn <br />��� <br />H xl <br />htl H htl <br />pJ H <br />x <br />��d <br />�^�g <br />yI V � <br />t"y�. <br />h+ y <br />gy <br />C]t7� <br />� � t+] <br />xHrn <br />HOCn <br />CITY OF EVERETT ,�, ,., , DATE �- 3- 9� <br />i , , <br />ELECTRIC�L WIRING PERC�fIT APPLiCaT20N FEE <br />aoa awo�ss �9 02 S� r ���rLr-r ��n,�� us� -t <br />TENANT �n'1 la ��f r,/� f., <br />PRGPERTY OWNER /�'Q�a�i (�S�CL1��w 5 �72" �'�� 7 <br />ELECTRICAL CONTRACTOR ('a-�.�..�,. �.�r-c,iJ-�. To-v 2� [ic¢C _ r.sCk�s�4l44.1 nk.lDs:c. <br />COi�TRAC'!'OR'S ADDRESS tip) /�,q� w S%.¢an�� T�D.�.�-a0� g�'-c�S_ <br />� CITY ZIP <br />LICENSE N0. ea-�+.,, r.1.�,"„pC��9Q 1.4. �+i � EXPSRATION DATE � 5 i o��� y 9m <br />ADMINISTRATOR ��y�L^ S' C.. ,(iF,.-t —„ / - PHONE NO. � j �q3o ' <br />VALUE OF WORK��9�o- e-�- (do not include taxes) <br />(fo- commerical work) <br />USE OF BUILDING <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care £acilities be anproved by the State of Washington. <br />Apolicants with such jobs must show the State approved plans before a City <br />of Everett permit wi11 be issued. ' <br />NOTE: Wiring in non dweilings is required to be in conduit. <br />WORK TO BE DONE: <br />�-�NS:A�I �("L+c y V�c...Sa,C YoLn-�� d:�`ll T� i7X i5T L%cTS <br />SIGNED:��.��j�_� �{�^-�...1 <br />3/27/90 <br />DATE: ✓ � 3-4 a <br />�� <br />