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� <br /> � <br /> � <br /> CITY OF EV'nAETT � � DATE � ` <br /> �. � ELECTRICAL WIRING PERMIT APPLIGlTION FEE � ,�� <br /> _ JOB ADDRESS �0 Z� l��C � V 1 �(�� �`--'��� � f+' .�S .3 —�I D� <br /> TEN7�iJT � ��/`' `� <br /> t <br /> ,T,�'i1 PAOPERTY OWNER �N.•"" � Il'S /1�I�J(7VF� '� . <br /> [�1 <br /> ��H ELECTRICAL CONTRACTOR � �"� '� �!���� �/VC� ' ��� <br /> 9 H C/� n f�,� A IG <br /> H ; CONTRI�CTOR'S ADDRESS I ( �l I S I Z�- TI'{' /'1 UG /\��.1 /Z�LLf1�� �7�/ li <br /> H �H T 1 CITY 2IP � <br /> � H� � LICENSE N0. , � I.� AI�.C)L '%'� �D�J� . . EXPTRATION DATE ��" ,I�L '1 � I <br /> V�H � r <br /> x Zp� - ACMINISTRATOA f"7�"rN - /��C'Z�SJI�I . PHONE N0. �j���" IZJ�c7 � � �. <br /> t�y H C7 ,y > <br /> � H�y VnLUE OF WORK '1� r! S .�� (do not include taxes) <br /> �/� C�110 (for commerical work) <br /> y�V � <br /> zH� , �c7r�.,--.�, i-n' �-( �L�J ELL �UL� <br /> y� USE OF BUILDING 1v�i in 2� � i i L_ <br /> yZ i <br /> r ~y � NOTE: WAC 296�46-140 requires that plans for electrical work at educational, <br /> y <br /> � institutional or health care facilities be approved by the State of Washington. <br /> C] G y <br /> � C� � Applicants with such jobs� must show the State appzoved plans before a City <br /> t`� of Everett permit will be issued. <br /> yOti <br /> NOTE: Wiring in n�n dwellings is zequired to be in conduit. <br /> �� WORK TO BE DONE: , •. <br /> ; / /�' � _ ��,��r�ria. co-yt,v�,s-s i r112 • � ���-a ', ' <br /> 1��j <br /> �� <br /> I <br /> t�j ' <br /> �� <br /> 1� <br /> SIGNED: ;�� iYl�' /�L�C��"�`"�= � • DATE: d`S <br /> �' � � <br /> �,� 6�0��� <br /> � �o <br /> ta=i 3/27/90 0 . p� ��� �\9 .- ':C., ,.. <br /> \� M P�� � <br /> . C���( p�µs qeP�• <br /> P"b� � <br /> . . <br />