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;: <br /> . � <br /> ,� , <br /> , <br /> � � �! /� <br /> CZTY OF EVERETT DATE �C .��C'� �' <br /> � <br /> ELECTRICAL WIAING PERMIT APPLICATION FEE ..� �G�� ' <br /> p�'� <br /> H JOB ADDRESS Jh'i 9 Gru�> � , <br /> >Hv� n / <br /> H �',}, TEN7INT / �I L / /�'P`e I <br /> � H'.b PROPERTY OWNER S�I�1� I <br /> � y� .,�# �F F/��, � ' <br /> ELECTRICAL CONTRACTOR <br /> � p�. � CONTRIICTOR'S ADDRESS ���D� �C+/��i SI' /�� NI'S/CI��/7S ��� <br /> p p.� CITY ZIP <br /> Z y� LICENSE NO. J'r��i�FI-�J�I� �'' EXPIRATION DATE �!1J�/.��_ <br /> �/ / / <br /> t' H�y ADMIHISTRATOR �-r//�I ��/JlC I'' _ PHONE NO. �/ f�5� _ <br /> N <br /> ~ VALUE OF WORK (do not include taxes) <br /> C] C V� <br /> � �� (for commerical work) ` <br /> V <br /> y �� USE OF BUILDING �S!/JG��' I lI/'{4��_ — - <br /> l% <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities 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 /> i <br /> �� +' NOTE: [9iring in non dwellings is required to be in conduit. <br /> �� <br /> e o <br /> WORK TO BE DONE: <br /> ! ! � �r ?on ��,,?�� , s�rv, U-� <br /> ,�, , <br /> i — <br /> I <br /> ��1 � <br /> � <br /> I <br /> 1 ' ' � <br /> � <br /> I <br /> 1 <br /> '�� 1 _ . � I � . <br /> r� /' �J I <br /> �� -� / // <br /> SIGNED: �n"� :� �S/ ,�/i1 -+ ' - .^ DATE: yLL��� '�, . <br /> �� � �_ <br /> C�� <br /> 3/27/90 <br />