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� � b � CITY OF EVERF.TT DATE 1-- /2 - `% / <br /> H � � ELECTRICAL WIRING PERMIT APPLICATION . FEE ��e^ <br /> o � o aoa wDxess � � �3 �T"��J� /N('�%� �U� G�' ��%Z `TT' �^�� <br /> y� , <br /> � y ~ TENANT S/7'��-� �I �S'1. `�-� <br /> O � �p PROPERTY OWNER ��jtJj�/J �- �1�L���l� <br /> M W R — <br /> r�i M ELECTRICN. CONTRACTOR c�u>nLl� <br /> � H <br /> y CONTRACTOR'S ADDRESS <br /> �$$$ O N CITY ZIP <br /> � � r LICENSE N0. <br /> � �+�+ EXPTRI�TION DATE i <br /> ADMI_iZSTRATOR PHGNE N0. _ 3 � / ���� Qj <br /> VALUE OF WORK (do not include taxes� <br /> (for commerical work) <br /> USE OP BUILDING � . 1�-� <br /> NOTE: WAC 296-46-140 requires that plans for electrical wcrk at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City � <br /> of Everett pernit wi11 be issued. . <br /> / � NOTE: Wiring in non dwellings is required to be in �:onduit. <br /> I �� <br /> WORK TO BE DONE: �������`4�_ <br /> � ���I, � LV J.�'.'/l/ � /�d� D'�'�c e� � �U G,�l� z <br /> � _ 11JI/�r7/l��'�( �f 1= C}� l//I'L, l_�X �c'�:"Cl��'7'J C�J�' S' <br /> � 1 � � T <br /> .�� ' —+ �/ C���, iu o .r fJ L l/�1�� <br /> � \' Gv l T C�r' J� L ..t'�-'J9/� }' L��'J S T. � 5�7�v! c�" u�v�' <br /> � ��` <br /> 1 Za �y;rn4')��iov . � HL_ Fi >> �, i,S'7" S ��tJ? �FcLs�.rr«�S . <br /> i (/J 7 � p� <br /> � =0_' SIGNED: _� t �jr;I��I'a--=�— �L� DATE: � "J('�" / I <br /> � <br /> ��'��. <br /> 3/27/90 <br />