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� �,, <br /> CITY OF EVEP.ET: pqm� �� G! �-q� <br /> OU <br /> ELECTRICAL WIRING PERMIT AP?LIGaTION FEE ,�f�, '—' <br /> soa Anoxess � U20_� C v E12c�iZCC—r1 w �-Y <br /> TENANT 7 AC!r 1 C "C-�YSG-I LS ' <br /> Pa20PEATY OWNER <br /> ELECTRICAL CONTRACTOR I�IOR(ltwc--Si �/�-,2(�-r �-YLvI«S �vC <br /> CONTRACTOR'S ADDRESS ��� 3`�� �� w �cL�1� g8I 1 So <br /> _ '� - CZTY ZIP <br /> LICENSE N0. N�21I'�AS lS�PU �'� � EBPSRATION DATE <br /> ADMINISTRATOR L�� ��EN V 2�(G'4- . . PAaNE NO. . �32.-- O I � ( ' <br /> • VALOE OF WORK � �L�� (do not include taxes) <br /> (for co,wierical work) <br /> USE OF BUILDING (ZtT/-�� L <br /> NOTE: WAC 296-46-140 xequires that plans for elect=ical work at educational, <br /> institutional or health caze facilities be aogroved by the State of Washinqton. <br /> Applicants with such jo6s must show the State approved plans l�ezore a City <br /> of Everett permit will be issued. ' <br /> NOTE: Wiring in non dwellings is reauired to he in conduit. <br /> WORK TO BE DONE: � <br /> • • SP P.( NK(�`� M oN ITOYL-t Nf� <br /> SIG.IED: � DA2Ba Co/ � C �J <br /> 3/27/90 � <br />