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� <br />��x <br />9HN <br />H � i�-+ <br />�i C'1 <br />H� <br />� f~p H <br />�Q�ry <br />��8 <br />Q b �: <br />ry�M <br />N <br />��N <br />HOy <br />'� s <br />a ! <br />� ' � <br />� <br />:� � <br />CITY OF EVERETT D4TE%. �n <br />ELECTRICAL WIRING PERMIT APPLICATION FEE <br />Joa w�xEss �i 3 O`1 �r� �%+�( �vc—n�r(Z- <br />TENANT <br />PROPERTY OWNER � `^�' C �^�C �F� % i�� C 11 T <br />ELECTRICAL CONTRACTOR {�aOVPd.�� 7 � �1 T�-��r���--� <br />CONTRACTOR'S ADDRESS ��(-,,;�_�ii�T� �---� 1 �L'�, ��ZC�� <br />CITY ZfP <br />LICENSE N0: fNp�IA�'T I�l�S�i EXPTRATION DATE _� l <br />ADMINISTRATOR Pri\ �Jl� PHONE N0. Co��'� ��� <br />VALUE OF WORK <br />(for commerical work) <br />USE OF BUILDING <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requizes that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Washington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />� � f�, f1I - — ��. <br />� � <br />.�.�% �= � <br />s � <br />� � � sicNe�: tiCo.�-, � � � � .T��� - or,Ts: �1 ar� � �� . 9 0 <br />3/27/90 <br />