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CITY OF E{7ERETT t�r4 � DATE IO'/�'9U <br /> � �o� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE� <br /> � /-�� va� ' / <br /> JOB ADDRESS IF.'Z I Gl/U�� C N_ . <br /> TENANT _ <br /> � PROPERTY OWNER ��(��N p�v�P rn�� � � <br /> i <br /> ,�e noal �� �,u e, ��# <br /> ELECTRICAL CONTRACTOR ��'1 <br /> corrrxacToa�s iwnx�ss <br /> �b lc�( ��rsc�c 9����' <br /> CITY ZIP <br /> ' LICENSE N0. �(1CJ�=� 13ZZ �J�� EXPTRATION DATE 'Ia��/ ��-�' <br /> Y <br /> ,� ADMINISTRATOR ��I�fz +��"""-���- PHONE N0. �S3 �S }� <br /> VALUE O: WORK (do not include taxes) '. <br /> :M <br /> (for commcrical work) <br /> USE OF SUILDZNG S `r/ � <br /> NOTE: WAC 296-46-1�;0 requires that plans for electrical work at educational, <br /> institutional or health care facilities be aoproved by the State of Washington. <br /> Apolicants with such jobs must show the State approved plans be`ore a City <br /> of Everett �ermit will be issued. � <br /> i .�' <br /> NOTE: Wiring in non dwellings is required to be in conduit. � <br /> , WORK TO BE DONE: nr�.�-� <br /> 2�F� /in^P (,���f'� S�/� <br /> � <br /> I '�� <br /> � <br /> .;� <br /> , <br /> ,.. <br /> � <br /> � ' ��� <br /> ,. <br /> SIGNED: V DATE. J�� I�'�O ::'� <br /> , <br /> i r� <br /> I `� <br /> 3/27/90 <br /> • I <br /> � <br /> I <br />