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� � � <br /> � � H <br /> 10 A C <br /> C H <br /> b H N <br /> y <br /> hy � x ., DATE ��-�- G <br /> y �' CITY OP EVERHTT �`� <br /> � H � C <br /> � N � FEH_,�1— I <br /> ELECTRICAL WIRING PERMIT APPLZCATION <br /> � '1 � i3 C� �� �pr�9 b=Z+Z1 L�4.�< . <br /> H <br /> SOB ADDRE:SS � Q ✓2. f.vALC ST/jE <br /> � � C #L <br /> b y a TENANT ° w'� � <br /> t� W (' <br /> �y y y PROPERTY OWNER I <br /> f) O N I <br /> � ro r ELECTRICAL CONTRACTOR - - G c, <br /> y � y CONTRACTOR'S ADDRESS f 3 S ( ? S � � 7 T N PG �C/�i Y✓` /��� I <br /> LICENSE N0. BU2KGE3' I �� m 7 EXPTRATION DATE � /Z�3�- IO <br /> ADMINISTRATOR PHONE N0. / �/S�"��-s� • I <br /> i <br /> VALUE OF WORK (do not include taxes) I <br /> (for commerical work) <br /> USE OF HUILDING I <br /> �� NOTE: WAC 296-46-140 requires that plans for electrical work at educational, �'� <br /> i r�r�� institutional or health care facilities be approved by the State of Washington. �I <br /> a�� Applicants with such jobs must show the State approved plans before a City <br /> � of Everett permit will be iseued. 'll <br /> i <br /> I ��i NOTE: Wiring in non dwellings is required to be in conduit. <br /> �e I <br /> FiORK TO BE DONE: <br /> 0� I <br /> � _ <br /> I _ � /00� / O 2�/OV '..,P �� � � � <br /> 2 N o.✓ L x w 5 �/�6 � �'. <br /> mn` <br /> ' 1�' - i <br /> / / / �/ DATE: � � <br /> ' � � SIGNED: _�Eac/�✓ GG /'^?� - . „ . <br /> I��� � <br /> .� <br /> r <br /> .� � <br /> � iF <br /> 3/27/90 <br />