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Csl � �y <br />,��x <br />G H <br />�Y H tn <br />H � 3, <br />1? x H <br />O x0 <br />� !~/� H <br />� O�H <br />��g <br />(�] Y (Ci <br />9 H [�7 <br />, <br />r yH <br />g � <br />�d� <br />��� <br />z H rn <br />H O V� <br />CITY OF EVERETT � �` <br />ELECTRICAL WIRING PERPiIT APPLICATION <br />JOB ADDRE3S jCJ II <br />TENANT <br />PFiOPERT'Y OY7NER <br />�` � J � <br />� � � `��Jr... <br />�n��.��(��(�Gv��t,S <br />' DATE L� '- I'' `� I <br />FEE�_. <br />�u <br />ELECTRZCAI� CONTPACTOR c� 1�� �-T✓'� l � t'�«� cL��^ �-� <br />CONTRACTOR'S ADDRESS �loZ�� `�i��CQ�. 11J��-�C5''15 V�'111;t��.vC�Ir- W� ��Z� <br />CITY ZIP <br />LICENSE N0. �Lc�L j/�K ��O 2i�A EXPIRATION DATE ' l� I-'7 3 <br />r1ChfINZSTRATOR C�r� tr��ebb _ PxoNs No. �f ��- Co7 /Z- <br />�� <br />VAI.UE OF taORK �-�(�17J (do not include taxes) <br />(for commerical work) <br />�� - <br />USE OF BUILDING <br />NOTE: t9AC 296-46-14G reguires that plans for electrical work at educational, <br />institutional or health care facilities be anproved by the State of e9:,shington. <br />Applicants w'_th such job� must show the State approved plans before a City <br />of Everett Fermit will be issued. <br />NOTE: Wiring in r.on dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />� C..d�l.. 'i � G Y li � (.l� :n '� <br />� <br />3/27/90 <br />� .. <br />tV <br />DATE: I— I �—L1! <br />� <br />i <br />I <br />