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( <br /> � y <br /> C�H , <br /> �H t/� <br /> � y�� � <br /> � DATE�� <br /> K y� CITY OF EVERETT � <br /> ��� FEE � .�� <br /> y � gr,ECTnZCAL WIRING PERh1IT APPLICATION <br /> xO ' <br /> H �-'�0(a �l��tGL(/r'r.��)_�-�/�'• dl%i .# �S5- 9S�b�/o <br /> O�"�� JOB ADDRESS <br /> C] <br /> ���i �il/ a <br /> �`� � TENANT '� � � <br /> yy � /�� 3vv� <br /> zH <br /> C" H y PROPERTY OWNER <br /> �y � � � <br /> d N ELECTRICAL CONTRA�CPOR L l-O �� <br /> �� �+ ' �,�- Tlk �IG ��' I� i� � Q�D'��� <br /> CONTRACT�R'S ADDRESS II� I 5 � � � ZIP <br /> HOtwi� . T �I21�{`I� <br /> � � LICENSE NO. �IU L(7� '�10�v� . � EXPTRATI�N DATE <br /> � ADMINISTRATOR �'G"f�'� �'�-�'�� � PHON� N0. . �7�J 1' �Z'� <br /> � VALUE OF WORK `I� ! S ,Cp (do not include taxes) <br /> i <br /> � (for commerical wosk) <br /> / � . ..-r �., '_l�J ELL_[_/.��� <br /> USE OF BUILDING y'�f Ssi I 31' /V 1 1 %i L �+y <br /> I <br /> NOTE: eJAC 296-46-140 zequires that plans for electrical work at educational, <br /> institutional or health caze facilities be approved by the State of Washington. <br /> , Applicants with such jobs must show the State approved plans before a City <br /> of Everett pezmit will be issued. <br /> ' ' � NOTE: Wiring in non dwellings is required to be in conduit. <br /> 1�' <br /> '�' ; WORK TO BE DONE: <br /> 11 � <br /> � / ��� �.. �.- �n i'Ll�� ' O G G' <br /> � � <br /> I'1 � � <br /> �_� . <br /> _� <br /> i <br /> _ , <br /> �/ ��„�- ,� �� <br /> ' f � SZGNED: I ..����/C� /„ � �, — DATE: �o/ - -- <br /> I�i <br /> 3/27/90 <br />