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� � <br /> H <br /> ryy <br /> y�� DATE `.� � <br /> ��� CITY OF EVERETT � � <br /> y Vi� FEE � ,�"� <br /> �p ELECT1tiCAL WIRING PERbiIT APPLICATION <br /> ONd�y <br /> ��O JOB ADDRESS ,�7r� �a��a �/������c� . /'l�� �s s= ?I � <br /> 'C�w CC] / Y ni, '.. n � <br /> �y 3 TENANT . �C(i�/ I C� IL l �VI L l�Y <br /> [A <br /> w y PAOPERTY OWNEA ! /�'rj c7 V� <br /> �C yr ELECTRICAL CONTRACTOR '�-« N��� ���- � <br /> `"�1 �} ' Z�- I�- A v� ti(E ` � �° Q�.'�`� <br /> y HO y CONTFiACTOR'S ADDRESS I � I I S � � . CZTY + ZiP <br /> � • LICENSE N0. � � � A�� �� '.� ���v� � � EXPTRATION DATE �l � ��' <br /> ADMINISTRATOR f�F�TH"' /���—�7� . PFIONE N0. . �J J 1�� �Z�`� � <br /> VALUE OF WORK '1� !S•Op (do not include taxesl <br /> �� (for commerical work) <br /> � USE OF BUILDING �G4i-n.�A ITl �a�l _ �!�-W E��.� <br /> � <br /> I <br /> • NO'PE: WAC 298-46-140 requires that plans for electrical work at educationa , <br /> institutional or healtti care facilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> '�t � of Evezett pezmit will be issued. <br /> ' � ' NOTE: Wiring in non dwellings is required to be in conduit. <br /> � <br /> I I i WORK TO HE DONE: <br /> ��� I . . / /5� /�' �fi-u�'/7 l/�e'_ ' O G G'�-4 <br /> � <br /> 11 � <br /> 1_I <br /> _� <br /> 1- <br /> - <br /> '� . '� DATE: � <br /> �I � SIGNED: <br /> —1 <br /> � <br /> � � <br /> � [� � � Od [� (1 <br /> 3/27/90 ' � J . <br /> AUG 0 2 1990 �' <br /> ............................................................. <br /> Ci;Y OF EVERETT <br /> Public Works Dept. <br />