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CZTY OF EVERETT �Ty r � <br /> � � �� <br /> Fr.r�g2CAI. WIRING PERMIT APPLIGTION <br /> FEE �� <br /> � `�k�' JOB ADDRESS ��� � (��c',d U/Uvc�C A� �e <br /> x <br /> TENANT <br /> t" y tn ` � �Ort.f� <br /> � PROPEATY OWNER �� P <br /> � �7�d EL:CPRIGIL COrTRACTOR ��✓'�D �/� - <br /> y y H �Y�S i��"`�� s� S- �• <�/��� �.� ���z � <br /> CONTRACTOR'S ADDRESS �ITY ZIP <br /> � ��,� LICENSE N0. �r/n � �'�'� B� � EXPTRATION DATE ' I� ��� /d <br /> Q��j � ��a PHONE N0. ��— ��j� <br /> ADMINISI'.RATOA /�n i' /,�i- `/ <br /> H ����� (do not include taxes) <br /> zH <br /> VALUE OF WOR2C <br /> �y y M (for commerical work) �� �� <br /> o �Ps <br /> � �� _ T��� <br /> ���+++ USE OF BUILDING <br /> �� NOTE: l9�C 296-46-140 reauires that plans for electrical work at educational, <br /> institutional or health care £acilities be aonroved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> `"�� ..,, of Eveiett permit will be issued. <br /> j � NOTE: Wiring in non dwellings� is required to be in conduit. <br /> i ��� <br /> WORK TO BE DONE: <br /> �t/i�e C/ c� / F!/r� f�Ps i!� a tv� N X <br /> � `� i.+sTa /� hc'c..- �D�J .rs 4ti�'. •rno/ rr�� i�� <br /> I ���� <br /> ��b <br /> � / <br /> ' ��j — .�.��G DATE: S / <br /> SIGD7ED: , v <br /> i� <br /> � <br /> , 3/27/90 <br /> ��i'e$�u�t�:: <br />