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CITY OF EVEAETT ; ' DAT,E �- ��-`% � <br /> ,. <br /> ELECTRIGIL WIRING PETL�SZT APPLIC:ATION . . FEE �S��- <br /> �tr-"7'~-'] JOB ADDRE55 . � 1 I � �.—1 1�10�.1 UJ' �-• <br /> >�3 ` '� <br /> C�1H TENANT _ ` `�+LI�� �� C, AOtI"."��.-1L � <br /> aHCn <br /> rri a� rxoasxTx owntm � �4 1Z ' �o'— A-�k�c^��1(_, <br /> y Z�-+ ' <br /> O �C , ELECTRICAL CONTRACTOA i.�I }3 � <br /> r <br /> y �� CONTRACTOR'S elDDRES.i I�' �' �. �� <br /> Cx�1 O[�] <br /> CITY yip <br /> H C7 <br /> O �-+ LICENSE NO. <br /> H �C7 - EXPT:tATION DATE �_ � <br /> H� �O _� � C� <br /> ADMZNISTRATOR PHONE N0. .�-G/�. �j' I.�S/ �7��-I��SI i�-� <br /> r H y VALOE OP WORK (do not include taxes) / � <br /> ty � (for commerical wozk) , <br /> O H <br /> � C r USE OF BUILDING �p,C i =NC C ��I � <br /> [�7 <br /> y �� NOTE: WAC 296-96-140 requires that plans for ele:trical work at educational, �� � � <br /> institutional or health caze Facilities he appioved by the State of Washington. � j <br /> Applicants with such jobs must show the State approved plans before a City ' � <br /> of Everett permit will he issued. . <br /> . - t70TE: Wiring in non dwellings is required to be in conduit. <br /> f� � WOAK TO HE DONE: <br /> a.s ee� <br /> _• �o �v�P,��c_ _,.2 c� c�,��_�EQL .N'rc� na.: <br /> . '�— I <br /> §�. ��! �n I� � ^ \ L�c--B ���� _�A � �.�. �NTI� C1lv�=. �. <br /> ,e , <br /> Z.�7 /4/v\� C ='7 )�L` �i <br /> -w. ,.� i <br /> � <br /> � <br /> , _a 'i ��� <br /> SIGNED: DATE: L` ��� �, C_� /_ I <br /> � a - <br /> ��;, i : <br /> 3j27/9C ' � I <br /> • I <br />