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;� - w <br /> 4, <br /> , CITY OF EVERETT �"""� � DA'"E G' 7 / I <br /> ELECTRIGIL WIRING PERMIT APPLICATION �FEE 7h � <br /> ��� JOB ADDRESS r cS��2 GG ��'� " « � � <br /> �>� TENANT <br /> xl <br /> a H� PROPERTY OWNER ��r7`�ILI tL I' .s <br /> K �� SLECTRICAI� CONT:LICTJR � y- � /_�e CT i L- <br /> o xo <br /> '� y H CONTRAC20R'S e1DDRESS j/50 3 .�L�, �Sr/'/ � S�I/PN� q<<r-.�S� <br /> CITY ZIP <br /> � H� � LZCENSE N0. A / � J � /` C! E%PSRATZON DATE '� � •�� y/ <br /> /Y'��f�- �r . <br /> ��� aDMINZSTRATOR Cn/^/ /�"G//�/'/ p�" ?HONE N0. .��� "��`5� <br /> H G <br /> ZH3 <br /> y y z VAI.UE OF WORK (do not include taxes) <br /> � <br /> i..i y (for commerical work) <br /> N <br /> O t7 V~i USE OF BUILDING ,��i !�� 7(_ <br /> � �r _��____,._� <br /> ` y y NOTE: WAC z96-46-140 reau_res that nlans for electrical work at educational, <br /> H O t/� institutional or health care facilities be anoroved by the State of Washinc-ton. <br /> Anplicants with such jobs must show the State approved olans be`ore a City <br /> of Everett permit will be issue3. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> i <br /> �� "� WORK TO BE DONE: <br /> �� -�c <br /> yDv C7�I� Ser � c.. �� 4� P�oc/ f�-nc� i <br /> �� � <br /> ,_I �u �� �a �,.,t;_ <br /> , 2j <br /> 1�•"j ' 2S <br /> �"'+ � �vc�r /c C' ' -- <br /> ��„) I �t;-Z l � — �U o,•�.re i � � i <br /> SIGNED: i✓ DATE: �D /cs a <br /> �O � <br /> � <br /> �� <br /> , � <br /> 3/27/90 <br /> i <br />