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-, r�. <br /> CITY OF EVERETT DAT_� � - Z � U <br /> FT.RCTRICAL WIRING PERMIT APPLICaTION FEE <br /> JOH ADDRESS � � 3 2 �[h-e�� � cz <br /> TENAPIT . <br /> PROPERTY OWNER D a-„� �_a,�.,,_ n <br /> ELECTRZCAL CONTRACTOR � r�_,� �v.. � I ec��\� <br /> CONTRACTOR'S ADDRESS Z 4 3 Z C� �.� �. 'R�. �de-r�� �,vr,�l 9 PrZ��i <br /> ' • CITY ZIP <br /> LICENSE N0. , (� 2 KaT �� I S O �� � ESPZRATION DATE O9 �30�4 2 _ <br /> ADMINISTRATOR �,C„r �.c 0�{.t cJi�`� . . P80NE NO. � �-/ z- I G 3 I ' <br /> VAL[)E OF WORK (do not include taxes) <br /> (for co�erical work) <br /> OSE OF BOILDING � � �Oe�,. .a.�_ � (-/-' !�L <br /> � <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutioaal or health caze facilities be acnroved by the State o£ Washingtan. <br /> Applican.ts with such joba must show the State approved plans befo`re a City <br /> of Evezett pezmit will be issued. ' <br /> NOTE: wiriaq in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> .,L�L�Oi+f` i) ���-�L� l��0..� <br /> SIGNED: �1 A�� DATE• � Z CJ <br /> i <br /> � <br /> 3/27/90 • <br />