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� <br /> I <br /> t <br /> � <br /> I <br /> CITY OF EVERBTT � � DATE 7,f9I4/ <br /> ByBCTRICAL WIAING PERMIT APPLICATION FEE 3�� <br /> '. JOB 11DDRfiSS �2�I l���^'��� 5�- - <br /> � <br /> xertntrr R.k��. I�.�.w-rs <br /> � PAOPERTY OWt�tER ���o�c <br /> � ELSCCRICAL OONTRACTOR �— L,� Pleas�i.t �iv <br /> � CONTRAL�.'OR'S ADDRBSS T/' ep �RTy _/L S� �'ut.��'I" 9�DY' <br /> CITY ZIP <br /> � <br /> � LICENSE NO. P �.,�e�► � Il O De EXPTRATION DATE % /�3 <br /> � 11DNINISTRATOR ��t,.�" ��s� PHONE N0. Z3y �i�JY <br /> . � <br /> s <br /> VALUE OF WORK I�� (do not include taxes) <br /> (for co�erical work) <br /> USS OF BUILDING <br /> NOTB: W11C 296-46-140 requirea that plana for electrical work at educational, <br /> �I inetitutional or health care facilities be approved by the State of Washington. <br /> 1 Applicauits with auch jobs muet ahow the State approved plans befora a City <br /> Iof Everett pesmit will be isaued. <br /> I <br /> � NOTE: Wizing in non dwellinqs�is requirad to be in conduit. <br /> � i10R1C TO BE DONB: <br /> � p,, . 4.� Y1 L.�la4(K� C'�..n.._ <br /> a <br /> � <br /> � <br /> � <br /> , <br /> � <br /> � <br /> k ; SIGNBDi �A` � ,� � DATE• ��9�9� <br /> � . � <br /> � <br /> � • 3/27/90 <br /> ,I � <br /> • � <br /> � <br /> � <br /> � <br />