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i:;_'. <br /> 4i ' <br /> k . ��� <br /> ,�� <br /> CITY OF EVEAETT � � DATE � �_ <br /> � ELECTRICAL WIRING PERFIIT APPLICATION FEE / ,� <br /> :: JOH ADDRESS �D 2� 5�4'1"I��G�� Ii 4.re/ .{%/ � I/Yl • �� �(! A 'U /�-� . <br /> TENANT � ���/l�`� �l i/u�/ �7"1 � � <br /> t <br /> ��� PROPERTY OWNER �j�}'Y11� /�'� /�"I J�V c � . <br /> ��1 x ELECTRICAI, CONTRACTOR ��l N LO I� .1�/V�� . <br /> t" yy CONTRACTOR'S ADDRESS � ( -1 � �J � Z,��'- T�-{" !'IV(�i �I k.i 2k.��1�nJi�i �I��?��� � <br /> H �� <br /> y H � • CITY 2IP . <br /> K y� / /� <br /> � H� � LICENSE N0. � I.�AJ�-()L '� IU ��T� � EXPTRATION DATE �"1 I�-1 � � . <br /> y H t ' <br /> � x� ��. ADMINISTRATOR �`7��(1�� /�/C�G_7I�I . PHONE N0. �Z�r7 ' � . . <br /> O C+1 ,y �/c� � <br /> � ���y �. VAI.UE OF WOAK Y� ( J •�� (do not include taxes) <br /> i..i �p^ (for comm�rical work) <br /> �]Y "q � 1 <br /> xy H 3 � USE OF BUILDING ��(,����'I ��W ELL( NG7 <br /> t' y x <br /> i <br /> �y H y � NOTE: WAC 296�46-140 zequires that plans for electrical work at educational, <br /> O y H � institutional or health care Eacilities be approved by the State of Washington. <br /> n d y Applicants with such jobs must show the State approved plans before a City <br /> � �� �� of Everett permit will be issued. ' <br /> y �y NOTE: Wirinq in non dwellings is required to be in ���nduit. , <br /> � WORK TO BE DONE: <br /> � l � l5' /�- �cc��r�a.�� �v�s i�r`�r� ��a c��� <br /> I��j ' - <br /> �� <br /> ��� <br /> �� <br /> 1.. '� <br /> w! ,r <br /> � SIGNED: ;' �'- � J���� � �`%l� � n• DATE: � a�a� �� , <br /> I �"j ' <br /> ��I I � <br /> 1'„j <br /> 3/27/90 <br /> . ; <br />