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_ � <br /> CITY OF EVERETT DATE l�l� <br /> �.o <br /> ELECTRICI�L WIRING PERIAIT APPLICATION FEE j r -- <br /> H�� <br /> �,.�'�� .709 11DDi2ESS I I �C� ���/t'lVJar� <br /> �-a, x9� TENANT . I'� n E ("�(1�� e- <br /> k y� PROPERTY OWNE�Z Ih l�n� � C'Yt�OV <br /> � �H ELECTRICI�I. CONTRACTOR �1 e �12 1'� � I2 Gl�YI C� <br /> y r CONTRACTOR'S ADDRESS �j S U S � ! ��l. f/V V e /UC �VeV�'ClT � ���� <br /> z <br /> � y ty CITY ZIP <br /> OH <br /> ��nC, LICENSE N0. " � (�-Y� �'� � I U' � `�`1 EXPTRIITION D11TE _ <br /> � y z ADI1INiSTW1TOR Pf10NE NO., 7 J� D 7 � <br /> HH <br /> g � VALUE OF WORK (do not include taxes) <br /> c� tf vHi (for commerical work) I <br /> � �� �USC•L FkSUILDING ��)�1(�l� T1i!/) �I_� �� (�����'�i�-+'tL-L.� -5 ' ',lehl <br /> y o cv'n JS ('�� C�� ie 6'�-�e- <br /> � � NO'PE: WAC 296-9G-140 requires thaC plans for electrical work at educational, <br /> institutional or }iealth care facilities be approved by the State of Washingtor.. <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit �vill be issued. <br /> N01'G: Wiring in non dwell.iny, is required to bc in cenduit. <br /> 'd s <br /> ��� <br /> WORK TO BE DONF: <br /> ��� A 1 � t,yt e '�e i' C�� (t� � I r�" i,� i ��" �� Y e�r �� f' l��� vt � � �n b' <br /> �� ct �'P S�h�11� I i s � n i� �r�e r� � n �'r� vh e h`� F I�r c�(�i �'S <br /> `--� -�n t� ew � irr �� � � � r�ea �Cer' �� �iinz � <br /> �� a <br /> RM@�i <br /> •.,. <br /> -_�.•�'r'.a.► SIGNGD: DI�TGc . <br /> ���� <br /> " <br /> 3/27/90 <br /> --- ; <br /> � <br />