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� Q- <br /> , � ,'d'1 � DATE 3-Z�` - � „ <br /> � CITY OF EVERETT o <br /> ELECTRICAL FIIRING PERDfIT APPLICATION <br /> FEE J S <br /> JOB ADDRESS <f�i � Z �UW I P�� <br /> [�f C�7� <br /> TENANT < ! :c��'�-+�/ <br /> 9�H G <br /> N PROPERTY OWNER / �i9�.4''� <br /> �/// � •,�.c IN- <br /> y z� ELECTRICAI. CONTRACTOR ��C� (: �G. � � <br /> G L ��� ti?¢�� �/cv Gf/.� J�C.�`-� <br /> p� H� CONTRACTOR'S ADDRESS �o�IOI � L(� S�J�77l�' � CITy ZIP � <br /> (q H <br /> � p� LICENSE N0. .c-���SLT / Ca �T� EXPT-RATSON DATE � ��' �/� • � <br /> r3 <br /> � �g ADb1INISTRATOR CJQ�/J g� Z`s7 �g PHONE NO. `�^ � J�(7 l�� ' <br /> 4�• C7 Cti� <br /> � VALUE OF WORK o.�^"^— (do not include taxesl I <br /> 9 H (for commerical work) <br /> r yH /'� <br /> USE OF BUILDING �Q-�*-c�GQ/1�-C <br /> H I <br /> OG CCy N <br /> 3 P7� NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> � y y institutional or health care facilities be approved by the State of Washington. <br /> H O[n Applicants with such jobs must show the State approved plans before a City <br /> of Everett per.nit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> i <br /> WORK TO BE DONE: <br /> '�� �� + . ��/ J y� / / <br /> ��n! � � ..� l��A-� 3 C i/ � � — /�'f�-� N 7�L�r//C <br /> G J S�1 �r-�-L � <br /> �1 = <br /> .�+ � I <br /> �� i <br /> 'I ' � t� <br /> SIGNED: u _ DATE• �-�� �� <br /> �� <br /> �� � <br /> i <br /> 1 i"'j <br /> 3/27/90 <br /> ��J <br />