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� � <br /> CITY OF EVERETT � DATE aL.�'���i! <br /> —�T <br /> ELECTRICAL WIRING PERMIT APPLICATZON FEE=�_ <br /> ( / ' <br /> JOB ADDRESS �, �I L� d� (7 ��/�'✓C'� <br /> TENANT <br /> ) / / �Ji/n ` , <br /> PROPERTY OWNER }.O O C� CJ t"/l'�'�'I /�/�'l S <br /> ELECTRICAL CONTRACTOR �C/G��-�'�� 'L'� �/�� �� G <br /> ,� �1� l �• <br /> CONTFACTOR'S ADDRESS �.�G� �� �/N�C�. �l��C•L�. 1 ��. J�Z c' / <br /> CITY ZIP <br /> LICENSE NO.I<<ZAS SEL /�-�.3 �-Z�L EXPTRATION DATE � I� ,� G- <br /> ADMINISTRATOR �D�.J �C'✓!?=1S '� "� PHONE N0. ,� ✓ � '-=2J 5 � <br /> VALUE OF WORK .� r1 J B l� (do not include taxes) i <br /> (for cemmerical work) � <br /> USE OF HUILDING � T� ��i �L S-�� <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 approced plans before a City � <br /> of Everett pezmit �.�ri'.1 be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> �vs�-� � �z��� i/ /���:.��� <br /> FIGNED: / -�"`'`� (. t�l'�Yk.tiv DATE: ,� '.�I ��� <br /> 3/27/90 <br />