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H H <br /> ro � <br /> � � D,�T� ;�- � � "� I <br /> y CITY OF EVERETT "'" <br /> y � H � >.-'"� <br /> e FEE d�,S .C� <br /> y � ELECTRICAL WIRING PERb1IT APPLICATION <br /> �r.� N M 2 }��1� <br /> [C Z � � l 1 �A� �/1 i��71 // / . <br /> �y � , JOB 11UDAESS � ., ^ <br /> r�i t�V TENANT 1 F �/'�"1 � ��, I— 'N�j-'G l l� � V I� <br /> � , � <br /> y y i PROPERTY OWNER �r I I�I �1't �� N ��F � 'S�� <br /> !" M <br /> y i..� • ELECTRT.CAL CONTRACTOR � � • yL � � �C/.� <br /> �� � r , � a-� �'�-e-��-�-�7 L�h ��'���_� <br /> y y WNTHACTOR 5 ADDRESS �ITY Zip <br /> O N <br /> � LICENSE N0. EXPTRATION DATE � <br /> �-7 �>Z� <br /> ' ADMINISTRI�TOR PHONG N0. c�� 7,�7 -2�- � <br /> �� VALUE OF WORKy� ���C'C-• C� (do not include taxes) <br /> ' (for commerical �Sork) <br /> t USE OF SUILDING <br /> � <br /> NOTE: WAC .�.96-46-140 requires that plans for electrical wozk 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 permit will be issued. <br /> 1 • . NOTE: Wiring in non dwellings is required to be in conduit. � <br /> �-- . <br /> �� _� WORK TO BE DONE: ! <br /> � ' f�v f �'P ! �t ���'S � , 7 `1 > /°`2u'vL �r .,/�.' <br /> I �— ' �� � cv �i � a� � � �i �� o ZL� ��t 1!i0�— <br /> � <br /> e�� <br /> . �� . <br /> 'A' . . �_ .�_ - � � G'C DATE: l.�—d � ��I <br /> SIGNED: - <br /> / <br /> � ��� <br /> � 'i : ' <br /> � <br /> 3/27/90 <br /> :c_ . .,. .o•• . •�r.-...r..,, <br /> . . ... ro .. . ... . .. . . ..... .._. ,... . �.cYq.Tlrw�.. w�P�r. . . � n��u.��.TIC^]� . .. . �. . . . . <br />