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CITY OF EVERETT �...�.•� r--...� DATE L,/ /7� <br /> J�_._,-_ <br /> ELECTRICAL WIRING PERtAIT F,PPLICATT_ON FEE ,a�p O <br /> JOB ADDRESS �3 a � �N O y� � <br /> TENANT Oc�Y r�� � �i7„0.h <br /> PROPERTY OWNER � v r'L. ` � 4'1 u I �o�h� <br /> ELECTRICJIL CONTRAC'fl�R Q'Gcr�T�,i . <br /> CONTRACTOR'S ADDRESS <br /> CITY ZIP <br /> LICENSE N0. EXFSRATION DATE � <br /> ADMINISTRAmOR PHONE NO. �� S � - S`7 `� �i <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUIliDING �q,Y'c�,C� �, <br /> L:O;.�: WAC 296-96-190 requires that plans for electrical work at educationcl, <br /> institutional or health care facilities be approved by the Stat� of Washi*�ton. <br /> nyplicants with sucli jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> L•70RK TO BE DONE: <br /> � ���,��- ,� �., � ;,���..11 �\ .�.�, ; <br /> �CXTC.vD iu 6 TL ��/Lp CF <br /> SIGNED: �,�-�LXx. (�}�C.J�"�-c� DATB: �7 3 C�� <br /> 3/27/90 <br />