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xC"7 <br />C79y <br />,ozx <br />� H <br />aycn <br />H z� <br />K C] <br />H �7 <br />t�.7 y � <br />� H �U" <br />OH <br />� �� <br />�� n <br />�H� <br />HH <br />g�' <br />H <br />CC] t7 � <br />t7 � ��'1 <br />y O Cn <br />CITY OF EVERETT , <br />ELECTRSCAL 41IRING PERI�IZT APPLICATION <br />J�B ADDRE55 <br />TENANT <br />DATE 7 ` <br />FEE � � � t' <br />PROPERTY OWNER 'Sli�l'11G I} c /{'I�iC�VG <br />ELECTRICIaL CO[JTRACTOR ��GLJVI-OI� � �/VL- ' — <br />COCITRI�CTOR'S ADDRESS I I� IS � z� �'�{ /�vG �CITY �L ��J'>�z �'��,`/ <br />LICcNSE t70. ��� / 1 A� /()� � IU I✓� E:fP2RATI0N DATE ��1 I���� �' <br />ADf4INISTRATOR �'C:TFt �J��—�Y�i� . P}iOi7E N0. '�'�.� IZ�J '' <br />VALUE OF WOP.K � r! S� UC' (do nct include taxes) <br />(for commesical work) <br />USE OF BV7L�II7G ���"f ���A�� %�'� '�>'W �LL C %�� <br />tt0'1'E: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of w,schington. <br />Applicants with such jobs must show the State aporoved plans be:ore a Citp <br />of Evezett permit will be issued. � <br />t]OTE: Wiring in non d��.+e'lincr, is rc;uired to Le in conduit. <br />WORK TO BE DONE: <br />'. <br />,�/ 7 �' -~ �'�' �� <br />i �i�- ,_, �=� -� � ��. <br />SIGNGD: ."'I..//i 1 � _ _'c.,f.._ <br />3/27/90 <br />DATE: /� �/�;,, <br />