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CITY OF EVERETT .. �� _ <br /> ,._:, DnT�T�.�e If^ �I <br /> G� <br /> ELECTRICAL WIR79G PERMIT APYLICATION FEE �5 S <br /> JOB 11LDRESS ��O //b y� � P(n p '� �� a n I <br /> �T u ��g 2� a�� -� <br /> , <br /> , TENANT _S. �. �-��� <br /> PAOPERTY OWNER _ C. R .. � �(? <br /> '�•� . ELECTRICAL CONTRAC:OR _c�1qf,AJ LLPCTY2IP <br /> �i-... CONTRACTOR'S ADDRESS / -J/„ 3� -�j S�l nJ �p� �� G/A �SI C <br /> ��ry. <br /> CITY ZIP <br /> L-VeRelj '� G a 1,�70 ;a <br /> LICENSE NO. SL2tf. - Ehl�nniP X /�f],QJ�} EXPSRATION DATE � '' <br /> AD6IINISTRIITOR (Z��v F:�i� p*�_ PHONE N0. �3 (�7'�y 9 � "� <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> i � n <br /> USE OF BUILDING� �(�SIfI�Pilr`�O <br /> NOTE: WAC 296-46-190 requires that Flans for electrical wc:rk at educational, <br /> institut+onal or health care facilities be approved by the State of �9ashington. � <br /> Applicants with such joUs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> NOTE: Wiring in non dwellinqs is required to be in conduit. <br /> `vIORK TO BE DONG: , <br /> `��b Am �P o�) eR l�ew � � R Iic = R�s�c(�P.u ;��L _ <br /> SIGNED: /"�"�� �AI) �� p DATE:�,/lJ,UP I /� <br /> 3/27/90 <br /> . .� �.,-.�...,..,. �,. .,... .,,.._. _ ...... ..... .... .... + <br /> .. . . .asur.rr �.� ... .. . , . � .�+..,.�r�r.xci�.. , .�r^ _ : "± ^+-`. . ... . ' �..q•-•.'7�'�ra� , <br /> 7 ' <br /> � <br />