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,�.�w rr.:- <br /> t <br /> � � <br /> CITY OF EVEAETT CAT� D -�� '�' <br /> x ELECTRIGL WZa2ING PERMIT AP?LICaTION FEE �S, ao <br /> h7 �� <br /> � �� JOB ADDRE55 I� I 7 ^ ,q I r7 +u� �-�I u e Lo�' Y <br /> H �N TENANT . <br /> �y� PAOPEATY OWNIIt C� S FI G�'���-�P <br /> � M '� n �. <br /> � x� ELECfRICAL CONTRACTOA /y 7 1/L O tZ� F I�C�1�-( C �C• .. <br /> o � d ro��,�A�s �o�ss i� 3 n I �y�t 5 r<i.J l.vti,uw��,� �'80'�/� � <br /> ''� CITY 2IP <br /> Q�g � �7 � . <br /> �s"� � LICENSE N0. , tf l G`C)�E( II,���7 ��� � EXPSRATION DATE IO'�:3'�� I <br /> r N y ADMINISTRATOR r/�y/L1 �l�CS.J��. I . . PftONE N0. �y,�'� 4.� �� ' ' <br /> �y <br /> d❑ y � VAL[7E OF WORK ' (do not include taxes) <br /> [+1 t" (for 'commerical work) <br /> H pi �l o <br /> � � usa oF anir.�iNc S� K p 5 L�� eN� <br /> � NOTE: WAC 296-46-140 xequires that plans for electzical work at educational, <br /> institutional or health caze facilities be an�roved by the 5tate of Washington. <br /> � � Applicants with such jobs must shoN the State approved plans beiore a City <br /> I of Everett pexmit will he issued. <br /> . �� NOTE: Wizing in non dwellings is reauired to be in conduit. <br /> � I ,_� WORK TO HE flONE: - <br /> L �/ (� C <br /> • �F ��J Co,�s S� 2 c�c / � �ti1 ,-,�ZJC�g�iD � G S�rt'v r c e <br /> � <br /> � . . . <br /> 1�� � <br /> I ' � <br /> II\ �I�. SIG.IED: DATE: /o � �./ia <br /> \ ' �` <br /> 3/27/90 ' <br />