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uN�"^<1 <br /> � iI <br /> ' il <br /> . . � ( y- .y.. <br /> . I <br /> � <br /> , ... . . � � • • .. . . . . ..�.� • � <br /> . . :. . . .. ......... . w.14:".. �... :11�. :1 � .IL. Y�li.c . >r.��' �L <br /> .....J:St�..... . .... _. . . ... . . �.� . <br /> ��� . . :.. � � - ' � , DATE �!�-C� <br /> � CITY OF EVERETT :;' � <br /> �' <br /> ��� ELECTRICAL WIRING PERMIT APPLICATIOti . . . FEE �S <br /> R�i�� JoB rwot�ss . � � a3 l W E.re,�-+� .p.,�.G , � <br /> ��C TENANT � � � , � � <br /> �`A,�P PROPERTY�OWNER . �c✓�r�i-I-�/1 r, ��i� r/� - . <br /> Q` ELECTRICN, CONTRACTOR �/'.X/Li I . <br /> �y N CONTRACTOR'S ADDRESS �� I <br /> p CITY ZIp <br /> ��`�� . LICENSE NO. �� EXPSRATION DATEi I�'I <br /> �� ADMINZSTRATOR PHONE N0. p�%CZ^ �1 y y I <br /> �� ����"`�� � VALUE OF WORiC (do not include taxes) I <br /> (for conmerical work) i <br /> USE OF BUILDING �j . I <br /> NOTE: WAC 296-46-190 requires that plans for electrical work at educational, ', <br /> institutional oz health care facilities be approved by the State of washinghon. <br /> - Applicants with such jobs nust show the State approved plans before a City � <br /> '� of Everett pexmit Nill be issued. : <br /> ����� NOTE: Wiring in non dwellings is required to 6e, in conduit. <br /> 1 WOAK TO BE DONE: <br /> I ,_�' <br /> i <br /> `�� <br /> I <br /> � _� . � ' I <br /> � �� <br /> I '+1�� SIGNED: �M�i 1 • 'GK1'Y1✓`l/ti DATE: � �L <br /> I , <br /> 1���� . <br /> �_ . <br /> 3/27/90 ' • <br /> I <br /> - ----- � <br />