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��x <br />�H� <br />��i <br />pH�o <br />'0 H'+tl <br />t4O�H <br />Q:� A9 <br />�yH <br />N <br />w M <br />����q+ <br />O fA <br />� <br />CITY OF EVERETT <br />ELECTRIC7IL WIRING PERMIT 7�PPLZCATION <br />JOB ADDRESS � V `� � �' � "'��5�� � � <br />DATE I'I �- / � <br />FEE � -�5. d 6 <br />r//i// i., % /t n iG i� <br />TENANT ��' ��T*tow�+-tr�o �-r—� <br />PROPERTY OWNER ��, -�� i/ S L-� /O �,2L� �-+-� S 3' 2� d -- <br />ELECTRICAL CONTRACfOR (-jVI�U� ��v� �G� ��`�����CNG <br />CONTRACTQR' S ADDRESS ��Q� � %9��UL �6'�70 <br />CITY 2IP <br />LICENSE NO. �"C / I �L� (�ZZ J/`�-' EXPIRATION DATE ���L� <br />ADMINISTRAI'OR L,.LI �'-{�' ��NC/1 �_ PIIONE N0. (�J 3��3 S� <br />VALUE OF WORK (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING S <br />NOTE: WAC 296-46-140 requizes that plans for electrical work at educational, <br />institutional or health care facilities be approved by the State of Wachington. <br />'�1 Applicar�ts with such jobs must st�ow the State approved plans before a City <br />of Evezett pezmit will be issued. <br />'�' NOTE: Wiring in non dM•ellings is reyuired to be in cunduiC. <br />WORK TO BE DONE: <br />f G'/Lcr4� / %j% ��OC7t f7�EL G�ia�ii�C= Gi/!J� ivGztJ <br />�Ct'7 /fiL°� SG�!U�GG , <br />SIGNED: 14i""'� '�/��',iL�'?i�l—� <br />3/27/90 <br />�nTc: /-/7- 9/ <br />