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CITY OF EVERETT \ � � DATE� z�7 -/O <br /> � � � ELECTRICAL WIRING PERMIT APPLICATION FEE S� .S7J <br /> � � N Jos aooxsss I l�3 5 F �,,.ere.7 Ll�c�(r r tJ4�! <br /> K � � TENANT I 1�G�n iJl�{T�J� ��4'K£M� �sd C <br /> o � o <br /> � w r�i PROPEATY OWNER ��P^e. - <br /> � � � ELECTR2CAL CONTRACTOR r�n��l�\ I�'LYfICi <br /> z � q CONTRACTOR'S ADDRESS ���ifX� VT<-fQ�01"L`f IYt U�/ N I��'/ �� IP ��� 7 Li�� <br /> y N I <br /> r m � '�LICENSE NO. �nC.V\��L�'I5d ��� z�SRATION DAT� � I(Vlafc�. �' � <br /> N / <br /> � [[U ro ADMZNISTRATOR 1�Q� �'�V��G� ?HONE NO✓� ��7�-� �I� <br /> O [Nn �� � <br /> VAL"J� OF WORK ��(�iQ-- � _ (do not include taxes) <br /> (for commerical work) <br /> USz OF BUILDING ("�1 �1�LE C�QG.t' - <br /> NOTE: �'AC 296-46-140 reauires that plans for elect_ical work at educational, <br /> institutional or health care facilities be annroved by the State of Washington. <br /> Apnlicants with such jobs must show the State approved olans before a City <br /> of Everett nermit will be issued. <br /> NOTE: Wiring in non dwellings is required to be ia conduit. � <br /> I ,.. , j <br /> ��'�� WORK TO BE DONE: �, <br /> � h <br /> %�5/4(/4�io� o-� �So /4fe� �i�ou�c, ��� +�aue � ` 7 <br /> 1 �„`� � i�n �-�-s( I � c�rcc, �f 5 -�o� fec���� �e.� , ! <br /> .,�r _ q I , <br /> I O �eP I/�f-4� I e�nntnp S•Jrt21M i <br /> � �..�.�„� <br /> � .� 5 .�`�... <br /> I r� <br /> i -�- ����� 9 - �- <br /> SIGiIED: G/ DATE• � g� <br /> _,_' ( <br /> I <br /> ' 3/27/90 . � <br /> �'- <br />