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I <br /> � � � <br /> m � x <br /> a H <br /> � � y <br /> HZN ' <br /> CITY OF EVEAETT �'+w DATE-`_✓/N/9v <br /> � <br /> .�.» <br /> p�y FEE � ,�� <br /> y y H ET;rC"CRSCI�L WIRING PERFUT APPLICATION <br /> � x � .�",� , �J / <br /> y � •JOH ADDRESS �S O I / G✓Z'�.Cw� � /h��VGC luL? � �S.'j `3� <br /> C] <br /> �7 � /J <br /> �`� n TENANT � ' ✓'� 11�(t,l�..L<�(1.PF'.0 <br /> t" y 'G <br /> PROPERTY OWNER 'Sn't11� I�F"7 /��I��V�' <br /> ��y ELECTRICAI. CONTRACTOR J,C LN�I� y -✓�VC ' — <br /> `" CONTRACTOA'S ADDAESS I I -t I S � Z�' T��{ �vG aI.TCITYR �Lw�� � r�?��� <br /> � H� <br /> HOm <br /> . S (,LA,• r,-C �ol�T(�j v' <br /> LICENSE N0. � � EXP=RATION DATE <br /> � ADFSINISTRATOR � I(-I�- N�2-�N . PHONE NO. �7"��' IZ� <br /> ' VALUE OF tPORK 9� ( s .�� (do not include taxes) <br /> � (for commerical work) <br /> USE OF BUILDING �� '-�� �� n�� * L�E(,L C��'j - <br /> I <br /> � NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> ' institutional or health care facilities 6e approved by �e State of Washington. <br /> ', Applicants with such jobs must show the State approved plans before a City <br /> . of Everett pesmit will be issued. ' - <br /> ' 1 � NOTE: Wiring in non dwellings is requi=ed to be in conduit. <br /> 1�' <br /> '�' , WURK TO BE DONE: _ <br /> ��� I � I� /3- �CLLf� �'��v�sSll�-� ' O �,�� <br /> � <br /> � <br /> 1-1 <br /> ►_I . <br /> _� <br /> 1- <br /> _ <br /> �' �- <br /> / tL� DATE• <br /> ' � . <br /> ' ' SIGNED: J�/ZlJl'6� // � � ���/� <br /> � <br /> '� �1_� ' o �'Qlss' <br /> 3/27/90 � �. �(/� �/j� <br /> c;T j�, �� <br /> r <br /> A a, v,c�` .. �99 <br /> °�.o F�F� �' p/ <br /> :�A�lr <br />