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�,,.,. <br /> _ ._ <br /> ��� - <br /> > H V� � <br /> � �� � � ' <br /> i <br /> � y H � � � <br /> CITY OF EVEAET: p:�mc �- 7�' �/� <br /> � xp �7 � <br /> y� ELECTRIG1L WIAING PERMIT APPLIGaTION FEE -7 S <br /> OH <br /> QC] <br /> �' " �� I�( �v��w �c.� l���� <br /> 1-i H JOB ADDRESS <br /> Zy �' <br /> � �„� y TENANT . � �I'C� " '��� — . <br /> i <br /> �yH (� n I <br /> j d y PROPEATY OWNER �� C' � L�C�nI 'LS <br /> r/� c � <br /> ��€� ELECTRSCAL CONTRACTOR �U 1�c�c� ,a �(�r���� (�u c <br /> o y CONTRACTOA'S ADDRESS %l5 �d f�i �/�� c T S�C�) �Ya-�•u�.�.'a�'cr{ ���� <br /> .. • CZTY 2IP I <br /> LICENSE NO. . /Y'U143C�'f��,)f �7��� � ESPTRATION DATE /- 1 I . I <br /> ADMINISTRATOR ��N IUTd Y_� . . PRONE N0. , /`t J `f' 'S�CJ ' ' <br /> � VALUE OF WOAK � (do not include taxesl � <br /> (for commerical work) <br /> C <br /> U5� OF HUILDING ��.5 r o �«c � <br /> % � "•� NOTE: WAC 296-46-140 =equixes that plans for elect=_cal work at educational, <br /> ( r institutional or health caze facilities 6e aaproved by the State oE Washington. <br /> � ��i Apolican.ts with srch jobs must show the State aporoved olans he=o're a City <br /> ' J � of Everett pezmit will he issued_ <br /> 1 ,_�1 NOT�: Wirinq in nan dwellings is zeauired to be in cond�•ir. <br /> �� <br /> WORK TO BE DONE: � <br /> �� • C! <br /> ��� (� C ��> S�cevi�.� �.?c:�C� ��k,� <br /> a <br /> /�)P cA) Ccs��l� � ie v� .m�', <br /> � ��I • . <br /> ' ����1 • <br /> � �7 <br /> '�1_t SIG:IED: 7 `/G DATE: / �-�� <br /> 3/27/90 � <br />