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;"� �4 <br /> CITY OF EVERETT DATE . 7 j^/ <br /> ELECTRZCAL WIRING PERMIT APPLICATION FEE S. <br /> JOB ADDRESS �� f F�/y/ ,lj�4 g�� <br /> TENANT <br /> PROPERTY OWNER �O,/J.e n � ��/C �SO�'7 <br /> ELECTRICAL CONTRACTOR _�� � ��p��� � <br /> CONTRI�CTOR'S ADDRESS I�.SD� vCE�///� ST/!�� �/! ]/Q ��./S JO .ZJr� <br /> CITY ZIP <br /> LICENSE N0. >.�.����-- EXPTIUITION DATE ' / �/ <br /> ADMINISTRATOR + �'�� /' <br /> ! �Q/».�./-� PHONE NO. . ,�'��� �/ �j� <br /> , <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING , j�ih -p ��yl//� <br /> v v - <br /> NOTE: WAC 296-46-190 requires that plans for electrical work at educational, <br /> in�titutional or health care facilities be approved by the State of Washington. <br /> Applicants with such jobs must sho�,u the State approved plans befor.e a City <br /> of Everett pezmit will be issued. <br /> NOTG: Wirina in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> � / �'/ U � <br /> ��T �DO � S�-er�ie-P 2 �i� <br /> / / �c.. / � <br /> �h�-PO_' n�ti/,P/� S <br /> ) % <br /> SIGNED: DATE:� ��� <br /> _/ <br /> 3/27/90 <br /> , .. t:• r^���'W�`� �MI�Ti�CS� k�J��'yp'� ;ri �Jt.' <br /> yw� <br /> Yi �'�`l��Y` �t { { <br /> .. . .'�t� , .:•�.,t <br />