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� �:�� <br /> S� <br /> ._..o CITY OF EVERETT .. OATE `J <br /> p� � I7� <br /> ,� . ELECTRICAL WIRING PERMIT F�PPLICATION FEE / ,t� I <br /> JOB ADDRE55 % Z , G�Li'�" I,���i.,c) cI�'�• �"3'`��— �093 I <br /> ��� TENANT . '1� lX� � . • <br /> p�� PROPERTY OWNER �j/"}�{'l-�� �-� /l IJv1� <br /> b'y� ELECTRICAL CONTRACTOR .l�1 N LO I� �AI � ' <br /> K �C~] CONTRACTOR'S ADDF2ESS � I "l I 5 I Z��'.' r I�S" �Illi al_l�,_�.1 /L I�LF�N7� �I l�D���� <br /> H Ctl � I CITY ZIP .. <br /> "�� H"�{� T /� <br /> y �� LICENSE N0. � /,(A�/_f�� '�' ID I V� � � EXPTRATION DATE _ �(�!-I �Z' . � <br /> tOxO �+ 1 ' <br /> HC ADMINISTRATOR [,/�H'� /V�SJI�I . PHONE NO. �7�J�'� IZS�c7 — -- <br /> ��� '. V7fLUE OF WORK � ( J ��� (do not include taxes) � <br /> (for commerical work) <br /> 9 H� <br /> r N y , USE OF BUILDING �r v�t T [�ni i i r, � �-�A�GL�( �UG� <br /> � yH � � . <br /> n d y NOTE: WAC 296-46-140 requires that plans for electrical wo=k at educational, <br /> � C institutional or health care facilities be approved by the State of Washington. <br /> y y • Applicants with such jobs must show the State approved plans before a City +; <br /> y p y • of Everett permit will he issued. <br /> NOTE: Wiring in non dwellings is required to 6e in conduit. � <br /> � <br /> i� <br /> WORK TO BE DONE: ' <br /> i / � / <br /> —+ � l5� �" c�Gt�1'�/7R �.� i'1�1�� 5/ r71'l 'ro ���-a <br /> �� i ✓ I � <br /> I <br /> le '� . <br /> —� i <br /> � <br /> ' 1 I <br /> �c� �P <br /> L I �6 <br /> +� ' / �/ �O . .. <br /> / � <br /> , <br /> �i � SIGNED: � �" � � `Yf'� Z�� DATF.:� � 4? <br /> I <br /> „� �I t,�� . ._.�".5'�� <br /> i'� � <br /> ..�� 3/27/90 <br /> •��� <br /> � <br /> . . . . . , . I � � . <br /> �,i <br /> i � <br /> � <br />