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'�y � � r ~+ � , DATE l��/�-lC <br /> tv y CITF OF EVERETT /� <br /> � �7 tn ELECTRICAL WIRING PERMIT APPLICATION FEE �C.� ��'�-� <br /> O� � O JOB ADDRESS I �� S �iJ`( �b�'rUCJ� I�CUQ... . -_ - � <br /> N Fi <br /> � o � TENANT � —--- <br /> N � O PROPERTY OWNER (�VtSl4 I�YtlJ� <br /> � . Rc� �/ �p ,` 1r,� <br /> qy Zty ELECTRICAL CONTRACTOR /V �C� (-O�nLUnllCfk110��1 � �l�'r•• � ��C <br /> t'� Z !� � t7 <br /> g ai H CONTRACTOR'S ADDRESS �D• ,�JUx ('>Z.77 L�/.Jt.��(rtY Lt�f}- T �D�'6 <br /> h O N ' CITY ZIP <br /> � � r '�/�r,,� <br /> � � y LICENSE N0. /��W L-V� [F�-�—I.I D DL EXPTRATION DATE _ <br /> ADMINISTRATOR P��� / I I{��'A"^�� PHONE N0. �7S �ys� <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING ��5'(XbJ � - <br /> NOTE: WAC 296-96-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> Applicants with sLch jobs must show the State approved plans before a City <br /> of Everett permit will be issued. - ' ' <br /> I <br /> ���� NOTE: Wi.ring in non dwellings is required to be in conduit. <br /> , i <br /> 1 WORK TO HE DONE: <br /> ' i•� �r .iPJn <br /> �� ��� _ <br /> , <br /> � __ �� .= � <br /> ; �_'_ . <br /> �I. I , +. . SIGNED: DATE• O ' <br /> � / <br /> i <br /> � <br /> ���. <br /> 3/27/90 . . � . . . �.., i �,'�"�`���� . <br /> t <br /> s <br /> p �'�. <br /> . , .: '� _r �, ' . . . ' t; , <br /> �� -_ � <br /> �- �. . .1 i .. <br />