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� <br /> r� <br /> „ ;, <br /> CITY OF EVERETT <br /> �~ � DATE S J I CJ <br /> � ;i:�. <br /> ELECTRIGIL WIRING PERbfIT APPLIC�TZON FEE o�S�� <br /> JOB ADDRESS „(( )�� �R-FSf" I/I�GtJ �R• <br /> ��� � TENANT �i /V �J SAD )��N ' <br /> A>� � PAOPERTY OWNEit 5�7ME <br /> �! <br /> ��y ELECTRICAL CONTRACTOR �(.I J!!�K �N • <br /> K n . CONTRACTOR'S ADDRESS //9�5 � l,2`� Av Nt' _ �eXtn.vD �IBGl3S� _ <br /> H�1 � CITY ZIP <br /> o xo <br /> 'b H'i1 � c <br /> y �� ' LICENSF� NO. )L1/VGU�+'JOI�I� - EXPTRATION DATE ,_ <br /> � Ht7 ADMZiJISTRATOR Gl� WQ�/� ViCI �. PHONE NO. ���'Y�Sy _ ' <br /> O H � <br /> ��� VALUE OF WORK (do not include taxes) <br /> z�' H 3 � (for commerical work) . <br /> Ly y Z • USE OF BUILDING �G(/FII7V5 (�Nl� � <br /> �y i-+H <br /> QyH � <br /> � d y � NOTE: WAC 296-46-140 requires that plans for electrical qork at educ>t'_onal, <br /> � C institutional or health care facilities be anproved� by the State of Washington. <br /> y y � Applicants with such jobs must show the State approved plans befo're a City <br /> y p y of Everett oermit will be issued. _ , <br /> NOTE: Wiring in non dwellings is reauired to be in conduit, . �� �� <br /> WORK TO BE DONE: <br /> �—�� : tuKnia o con�Up,d�"6n� /E' r-r. �o aas) <br /> �� � <br /> 1..� "' <br /> �� <br /> �—... <br /> � � <br /> �I�I SIGNED: �zS�(���„' _.' `�" DATE: V �I G/U <br /> e <br /> �� ,� <br /> � <br /> �.�.� � 3/27/90 <br /> , � <br /> � <br /> . . �l <br /> ��. <br /> � <br />