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i <br />�. <br /> � <br /> .�, << ,..� � <br /> �,,, ,, <br /> .,: �.� <br /> , CITY OF EVERETT DATF. U <br /> ELECTRIGIL WIRING PERMIT APPLiCaT20N FEE <br /> JOB ADDRE55 �,�I � �CAe/�'��- �`'�1-PJ <br /> TENANT <br /> PROPEATY OWNER �i�i� �Di Dn�y��i '�b� I �nOO,r CJ�ro��� <br /> � ELECTRTCAL CONTRAGTOR �'f�� rCJL2��`C'��.., <br /> CONTRAGTOR'S ADDRESS �j[�X �(�[i1 �YYr...SlIiII�, �JX'�7� <br /> . �•CITY ZIP <br /> � LICENSE N0. , h#l_��G I��-Z �I� � � EXPTRATION DATE ��qO . <br /> ADMINISTRATOR '�' ��; 1'��_ . PHONE N0. . _ �„53 - 9y35 - <br /> �� VALUE OF WORK � (do not include taxes) I <br /> (for co�erical work) ; <br /> i <br /> , USE OF HUILDING '�Q,S�dl�.���J.Y�2�.� G�l�) I <br /> NOTE: WAC 296-46-140 reguires that plans for electrical work at educa`_ional, � I <br /> i.nstitutional or health cure facilities be aonroved by the State of Washington. i ' <br /> Apolicants with such jobs .must snow the State aporoved plans before a City I <br /> of Everett permit will be i.ssued. ' <br /> NOTE: Wiring in non dwellings is reauired to be in conduit. <br /> WORK TO BE DONE: � <br /> •�Q�7'f�l_JT 11L'-T <br /> . ' I� <br /> � <br /> i <br /> I <br /> i � <br /> /] y��/� � �/�(� � � <br /> SIGNED: �ID/J I / /�'(-OYIGSEV DATE: �G1`-1 l� I % <br /> i ,� <br /> ! <br /> � <br /> r <br /> 3/27/90 • ' <br /> i <br /> I <br /> � <br /> I i; <br /> I } <br /> I ' <br /> � � <br /> I <br /> � <br />