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yxOH <br />M�A� <br />m`�� <br />�H�n <br />y�H <br />�H� <br />oxo <br />�+� H hJ <br />UJ H <br />H <br />�x <br />Ht7 <br />(� H <br />H�g <br />�V � <br />H <br />Nyz <br />h-� H <br />gy <br />H <br />n b N <br />� � i*1 <br />HO� <br />`o'' <br />Q �� <br />A�1,_I <br />�� � <br />1 ��' <br />CITY OF EVERETT } � ` DATE � oZ �j "C/ � <br />�,'UD <br />ELECTRICl1L WIRSNG PERMIT APPLICATION FEE_ �-�1.J <br />soe �o�s5 �/< l{o rii <br />mENar�x %�.vi 2/IcT-)t, � l_ C�o,v l//�,v �GSSe'1/ <br />PROPERTY OW21ER <br />ELECTRICAL CONTRACTOR �G�j<�'� �' U!1/I.E!'N�' �--CJ��G! <br />CONTRACTOR'S TDDRESS /.S�vzl �Z� .f i /� ✓L� �C' I.,. �/l".{�[('-% :� ,• . � ,� <br />CITY ZIP <br />LICENSE N0. /� L�/�A ULZ-O/�TS'� EXPIRATZON DAT_£ � <br />e <br />ADHINISTRATOR �% � A-YL/r1 U�/( YC V�{L PHONE No. �33 i-3o0 � <br />VALUE OF WORK (do not include taxes) <br />(ior commerical work) <br />USE OF BUILDZNG <br />NOTE: F7AC 296-�'6-190 reguires that plans for electrical work at educational, <br />institutional or health care £acilities be approved by the State of Washington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett permit will be issued. <br />C]OTE: 47iring in non dwellings-is required to 6e in conduit. <br />YiORK TO BE DONE: � <br />c� i r� r� � U Oi ?/a .� -�'G v G-S - G7--s — f{t'�,- "7� <br />G �7 .st s �(' p/� �. ,c C /��r- r 7-0 ��,o �, A_ ;- E <br />: �,� <br />; -__ <br />SIGNED: l_—/�� � ' — �� • ' - ' . <br />. 3/27/90 <br />/ <br />DSTG: , � - � �� <br />