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� i <br /> �nsa:c: � � <br /> J i <br /> li <br /> �� <br /> � ,yA <br /> Y <br /> CITY OF EVERETT DATE <br /> ELEC'fRICAL WIRING PERMIT APPLICATION FEE <br /> ��y JOB ADDRESS �I�AO/ F0,�2E5 i O�l vtr �!/t^YGE7f � i.�JA y8�� <br /> o�x <br /> 'L"9� �� TENANT �N�`� . <br /> K y� PROPERTY OWNER G.��a�y P `r .�A�l L • '7-OI�U'L��S E.--7U'CJ - - - <br /> � y H ELECTRICAL CONTRACTOR OWNtYL � , <br /> yxx <br /> [� Q� CONTRACTOR'S ADDRESS �.�, � <br /> '� CITY ZIP <br /> � �g , <br /> H� O LICENSE N0. EXPTR)1TION DATE _ , <br /> � y� ADMINIST3UITOR PHONE N0. ' <br /> g � VALUE OF WORK (do not include taxes) . <br /> n d y (for commerical work) �� <br /> ts1� <br /> y y USE OF BUILDING - � <br /> H O�n <br /> ��� NOTE: WAC 296-46-140 requires 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 /> �= <br /> WOftK TO BE Df1NE: , _ � ' <br /> �'� �� �LT�2.1 Ny �=X/STiNy 5��?'LVl L �� _ <br /> �� . <br /> 2-0� Ar�+P _ <br /> I'�"j <br /> �� <br /> 1� <br /> _� <br /> !�� r ( / y���� i <br /> SIGNED: �,�'�.�/�G��-c-4�/ DATE: <br /> ��� <br /> � � <br /> 3/27/90 <br /> � <br /> ! <br /> �. <br />