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Y <br /> 1 <br /> � <br /> CITY OF EVERETT DAT� ^. z s- s (� <br /> FT.F.CTRICAL WIRING PERMIT APPLIGITION FEE <br /> � <br /> � <br /> i sos aDoxEss �i' 3 3 2 �v���- N� ,� <br /> ' xErrnr�x <br /> � PROPERTY CWNER _��,� L ci..._f�_, <br /> i <br /> I ELF.CTPICA!; CQNTRACTOR G Kt_,�c �o� � I E�c��\� � <br /> croNraacroR'S a�D�SS Z �j 3 Z C� e-�..�. ,� �R� �de,r• , LtJN 91gZ�4 <br /> . ' • CITY ZIP <br /> ; LICENSfi NO. G fZ Y-�T �� I S O 2� � � EXPSRATION DATE C'79 ��o/� 2 <br /> j &OMINISTRATOR . Z,¢,.� �: �-{,P �k,�,��,,�� . PHONE N0. . 7 �/ z- � (� 3 � ' <br /> 1 <br /> VALIIE OF WORK frlo not include taxes) <br /> (for commerical work) <br /> OSE OF SUILDING ` � � rp�a�_ _ � L�` /2 <br /> � <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health ca:e facilities Se anproved by the State of Washington. <br /> Applicanis with such jobs must show the State approved nlans befo`re a City <br /> of �erett pexmit will be Sssued. ' <br /> NOTE: Wiring in nan dwellings i., rec�:ired to be in conduit. <br /> WORK TO BE DONE: <br /> r�(Nl4 L7 P�1' �J � �4_. �i�Ma�.. V <br /> ��_' <br /> SIGNED: � ���— __ _ DATE: S Z U <br /> 3/27/90 <br />