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�::: <br /> �a '� "+ '',r r�,.:r.�ht��.f�t¢-�r4 Sr_ <br /> � � �`^ta Yi .:; : <br /> �,,+y r �! <br /> �n�`X'a sr� .,,�.A��.�£,t'�{.��15%�''�''fi+��` ' T"@3°x+eR: . <br /> , � F::rJ� <br /> i / �! 9 �a <br /> � ��y " CITY OF Et7EFtETT �a�"' <br /> � b H <br /> �O y7 Q1 �.��' <br /> y y y ELECTAIGIL WIAING PERMIT AP9LICaTION FEE <br /> r � <br /> ro m o� soa rw�xsss �� ocJr �q�� c�el �X c�� <br /> � <br /> y M . . <br /> � � � TENANT . . <br /> o ~ o pAOPERTY OWNER �I�S iQ 6 r��r�a <br /> � y � ELECTRICAL CONTRACTQR / J UlQOf2 4-'� C-��C I ✓LC� ��'�C. <br /> � m y C O N T R A C T O R'S A D O R E S S 1 U � � I��I / h S /\J�l� L VN/UU:dCC� �LlO3 C^ <br /> � ��. CITY ZIP <br /> C N <br /> � � y LICLNSE N0. . �Ui202f.1 I(I3N��_ �� � E.'�TRATIOCT ➢ATE (:f5`o�. 3' �l I . <br /> ADMINISTRATOR \��/t /�'��-= I � 1 . . PAONE N0. . /Z ��y'.�i77� " <br /> � VALOE OF WORK � (do not include taxes) <br /> (for 'eo�erical wo=k) <br /> USE OF HOZL�ING ?l�I P f �"v'"`-�l�/ K e S ��u�� ��� � <br /> NOTE: WAC 296-46-140 requi.res that plans for elect=ical work at educational, <br /> institutional or health care facilities be aoproved 6y the State of Washington. <br /> Applicants with such jo6s must show the State apnroved plans beio`re a City <br /> of Everett permit will 6e issued. ' <br /> !��1 <br /> ! �_ - NO3£: Wiring i.n non dwellings is reauized to be in conduit. <br /> ' ��_ WORK TO BE DONE: ' <br /> , ��� c� U �„�-� G Se�z�<<e --- <br /> � � <br /> W ►� e /UeW C���,vsf��c�� ��� <br /> � �� � • � <br /> j �"'1 i . <br /> � � <br /> 1 I �_' : SIG.`]ED: r ��x DATE: (�� / -� <br /> i � <br /> � <br /> �'��. <br /> 3/27/90 ..�-'s�E�g�,,�.�",, � - <br /> �?;,rt;'p <br /> . ° f <br /> ���`�; <br /> y�>." <br /> i. ":a�, <br /> ��y k�xe�'t. <br /> ` �7�� <br /> � � � _,;�: <br />