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; _.i /l ;'�, <br /> i'� � �/ <br /> , CITY OF EVERETT '�, � DATE/ <br /> � -- a <br /> ELECTRICAL WZRING FERMIT APPLICATION . . � FEE, � � � c.--'Z—J ' <br /> A'A x - ,� /( /C./C/ ( �yy� � n �U L � i <br /> � H . JOB ]1DDRESS � '/ N'(�� ��l ���� �C�/ <br /> 9H� i A <br /> H y H 1'ENANT 'S'�_� 7l'/ -�'LG�� — <br /> z /�� <br /> � H77 PROPERTY OWNER `�f!?�J�� — <br /> '{1 H'�J c //-� � <br /> � N� ELECTRiCAL CONTRACTOA I Y�'✓ <br /> z v� <br /> � y� CONTFACTOR'S ADDAESS -G�� . L �� <br /> O H CITY IP <br /> z� C LICENSE N0. ��'`v �f� I�)�"`� g%PSRATION DATE � l �J � �� <br /> 3 <br /> C H y ADMIt7ISTR7ITOR '' — <br /> y H t7 0 <br /> �7 ( �' PHONE NG. <br /> � <br /> ~ - VALUE OF WORK (do not include taxes) <br /> C) C t/� <br /> (for commerical work) � / <br /> � �� USE OF BUILDIC]G //(J�/`(�/�,- /�(' j�`j�((C/L(': ( . <br /> i <br /> NOTE: WAC 296�-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by :he State of 19ashington. <br /> � Applicants with such jobs must show the State approved plans before a City � <br /> of Everett permit will be issued. � , <br /> '..e� ,,,. NOT�: Wiring in non dwellings is required to be in conduit. <br /> ,�a <br /> � // <br /> woxx �ro ne o�r�e: <br /> ��-�--� - � � ) ' t/��1-�t�( ��/i/���� <br /> <.. .,. � /1'�f� /�'�cC� � <br /> � � <br /> A�@�j <br /> ��.:. � ` 7i Z� G! <br /> SIGNED: DATE: <br /> • � <br /> !s'�! <br /> a, � <br /> 3/27/90 ' <br /> ` <br />