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1 ... . �n'l��lLli'n�� ��..In�... •��l..�i:l�'.\'�4�.I1:.]/..\iLit. ♦. .�.�.. ... .. �..��. ..1� �. . . . V.��..\.��. � <br /> . �.. . . .� � .• <br /> � H . .�... .1..1 .•.V'.��...•. . '..... :.' � ..... . . ... . . <br /> b� ro �y <br /> H CITY OF EVEAETT 1,: � �� DATE S�6-��i <br /> b H N • �� <br /> � CL <br /> K � � ELECTRIGIL WIRING PERI�LiT APPLICATION .. . FEE �_� <br /> y � � . <br /> gY_.c.' " ' .�J` <br /> y 2 � JOB ADDAESS • � � l7 i' �C� �j(,C��x�' • , ., . i . <br /> �t�a <br /> O � � TENANT ' <br /> c�~i � ' <br /> � c�. PAOPEATS('AWNER � �� 7 ` �= E�. r:'" -r <br /> y � . <br /> � <br /> f+ i�-7 ELECTRICAL CONTRACTOR F'- �-��<J"'d� ,J i i/�r' 1 .�./: <br /> 8y . . /1 <br /> Q O N r '� i'' ') ��� `{/ =��'i�) /I �� ��'c'',-�.,,� �7,\�`,. ;-� <br /> � cro r CONTRACTOR 5 ADDRESS <br /> � CITY ZIP <br /> O y <br /> LICENSE NO. c� .��1<"!.'.: ��9 i `�"�i � �� � EXPSRATION DATE � <br /> � ADMINZSTRl1TOR PNONE N0. �'`i j- L-C��i 4' <br /> � VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING f � i '," ' <br /> NOTE: [4AC 296-46-140 requizes that plans, for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> . . Applicants with such jobs musr show the State approved plans 6efore a City <br /> / � of Everett pexmit will be issued. = . <br /> I ��, <br /> � NOTE: Wiring in non dwellings is required to he in conduit. <br /> 1 � � • <br /> �_� WORK TO BE DONE: <br /> / 1 - �; ; �� s ��•; <br /> I�'� ' <br /> � �_� . , <br /> ���� � <br /> � _� � <br /> � <br /> !� SIGtiED: �� � � ✓�-. Let D71TE• �/l�/7'� <br /> I . <br /> �� ' `. <br /> 3/27/90 ' . <br />