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;I .' '� <br />i.�. <br />CITY OF EVERETT <br />ELFCTRICAL wIRING PERMIT APPLICATION <br />; ... <br />' �) o ' _ G_ ���'� <br />, JOB A�DRESS� <br />� <br />DATE I • %Q : , C% <br />i <br />FEE�_ <br />?.�ncar 5�'l,`S/� �� e l iV � <br />,,�, °2�.; . /' <br />.+PROPERTY OWNER._InJ��L ry��- � <br />:�:: ��,��, �-��-�;r� � <br />EI.EGTRICAL CONTRACTOA F.��� l� E�T � <br />'''���• �`7 N 5� ���''� <br />CONTRACTOR'S ADDAESS J U C I � �ITy 2IP <br />�; �.., <br />LICFsNSE NO. r r ;J � L I � �I I � � EXPIRATION DATE � _ � ' ! � ' � � <br />� vJ r��oH� No. '7�/ �' / �� `7 <br />AplIINISTRATOR'F_.i�/i/JIa�`I' �h YILNK/IGI. <br />� � (do not include taxesl <br />VALUE OF�WOAK <br />(for commerical work) � n <br />i <br />USE.OF_BUILDjNG . <br />NOTE: WAC 296-46-140 requi=es that plans for electriToved by theeStateiofaWashington. <br />inetitutional or health caze facilities be app lans before a City <br />'�.c Applicanta with such jobs must sfiow the State approved p <br />. of Everett pezmit vill ' issued. <br />NOTB: Wiring in non dwellings is required to be in c�nduit. <br />HORK TO BE DONE: <br />��, <br />���L�� <br />..�__ .�.�,i <br />SIGNED: <br />� � <br />3/27/90 <br />,� /� J _� DATE: /�__S � / <br />7 <br />s, <br />� <br />, � i�; . ,.'.��.I <br />