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� <br />C�] Ma � <br />�O :V x <br />9Hxt~/� <br />H Z� <br />K n <br />'� <br />"�tl H'+tl <br />pJ H <br />� O� <br />OM <br />�/��8 <br />y�V � <br />H <br />zH <br />�yH <br />H <br />C] � N <br />� <br />H O tya <br />� � - <br />CITY OF EVERETT DATE � - �-- � � � <br />—� <br />ELECTRIGIL WIRING PERMIT APPLICATION FEE ��i%,s� <br />JOH FDDRESS .��- I ! L������i /�L��_ <br />TENANT <br />PROPERTY OWNER <br />ELECTRICAL CONT <br />CONTWICTOR'S ADDRESS �SiO�� /t �����/�K <br />CITY ZIP <br />LICENSE NO. ��C'�I��� `l 7 9 c-�' ERPIRATION �ATE _ <br />ADMINISTRATOR '�Z�I �-I'/,/��-- IG�C��N/ y PHONE N0. ?�7�— �� U�/�2 <br />�f�` UJ � <br />V11LUE OF WORK 7" �7 U U (do not include taxes) <br />(for co:nmerical work) <br />USE OF BUILDING ��/ �`�1l nr�s i r�r�tr,�-c_ <br />NOTE: WAC 296-46-140 requires that plans for electrical �dork at educational, <br />institutional or health care facilities be appzov�ed 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 />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DONE: <br />�� � � I� 1.ST/?-�< - � C�/1-�LJ C. J�� !i L/ /C1-� �-/� <br />z _ � z � i-�,y;� ,5����' ,��;U��c r <br />i �� <br />/ <br />�q� Q �� O _ c ' � <br />� SIGNED: � /� ��// � �+Y'�� _ DATE: U � � �� <br />' (�' �� <br />,`�� <br />3/27/90 <br />