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� � .. - . - . � . . 5 :�'�;�'ufr'��v"£;9�'t�.�;�.x;�:;� <br /> ` , � � <br /> � 3 <br /> � CITY OF EVERETT DATE�2- pD - 99 t �� <br /> { � <br /> : <br /> ---. <br /> ; ELECTRICAL WIRING PERMIT APPLICATION FEE ���'�- - <br /> [ <br /> ! Jos An�xess ��7// �'i.Npa^H�p.v ��a .� � A . <br /> ; � <br /> � TENANT �1��Lre.i/ �Y�yr+ C7t' �Ji1/i�j� � <br /> z,: r/ � � <br /> PROPERTY OW'N£R �LC.!'�' '� �YY44R-Q vNl/ C�G � <br /> "'��� ,. ELECTRICAL CONTRACTOR ��7C' ( � <br /> '� � � <br /> CONTRACTOR'S ADDRESS <br /> � CITY � t <br /> , ZIP <br /> � � �: LICENSE N0. <br /> � EXPTRATION DATE ' � . <br /> � ; ADMINISTRATOR . PHONE NO. /y ,3 -�`7O � <br /> ` VALUE OF WORK �1 00 <br /> y '1��— (do not include taxes) � <br /> � (for commerical work) <br /> � <br /> r�, �� � <br /> .._.. . � USE OF BUILDING /�/I�X ,�'� .� �P�O,�,��F„ � <br /> d <br /> S NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> S institutional or health care facilities be approved by the State of Washington. '" <br /> g Applicants with such jobs must show the State approved plans before a City � <br /> � of Everett permit will be issued. � <br /> � <br /> � NOTE: Wiring in non dwellings is reguired to be in conduit. � <br /> � � <br /> �. WORK TO BE DONE: <br /> �� <br /> � 12X �.� Q ��;Ld y( � f-/ '/_ y� 4.: <br /> � /%Gs�'Lf a / G �T 71,i` `� <br /> t L�-�rs--� ��f�—! � <br /> � � <br /> a <br /> � <br /> � � <br /> { � <br /> i � <br /> - �, SIGNED: DATE: �2- 2e —Cj� .��5 <br /> j -T <br /> a <br /> � <br /> t <br /> 3/27/90 ( <br />