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� ,j�� �� CITY OF EVERETT �q � DATE ID � y� I <br /> � ' F 'I <br /> _i: , �? <br /> RT.RCTRICAL WIRING PERMIT APPLICATION FEE �� <br /> ` l W � ' �Y1�-��l �C,sLs�L <br /> � JOB ADDRESS <br /> cJ <br /> TENHNT I <br /> PROPEATY OWNER IC�GE� (IROV�i�L <br /> ELECTRICAL CONTRACfOR NOP��-d ESr 4JYSu�i�ti*�C�'/�% � «-�Cyi� J--�N�� <br /> CONTRACTOR'S ADDRESS PD �a� 4�'27� ��I✓J�IN/W�1 /11D3�P <br /> CITY ZIP I <br /> � • LICENSE NO. ./vW�/f'I�� //D L7L EXPTRATION DATE � I <br /> C1�r / /1 � � PHONE N0. 7 7 S ' �7 S� I <br /> ADMINISTRATOR r/�/�/ GLY�:Y.R�� I <br /> � VALUE OF WORK "`C�� d (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDINGsr ��C <br /> NOTE: WAC 296-46-140 requires 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 must show the State approved plans he£ore a City <br /> of Everett permit will be issued. <br /> � <br /> ` NOTE: Wiring in non dwellings is required to be in conduit. i <br /> r <br /> �, WORK TO BE DONE: I <br /> � <br /> r.� �f� /�e _,,,,,�.�,�� � r/"P�'�jc_ i <br /> Trrr-�.�-�.Q �ii 7���Yn <br /> � I <br /> � <br /> I <br /> I <br /> 11 <br /> SIGNED: `� \ ��`"G DATE: �� �v I <br /> I , � <br /> I 'iY', <br /> 3/27/90 <br /> i <br /> I r:i <br /> I y� <br /> I <br /> � <br /> 4 <br />