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� � <br /> Qa� Ix-� <br /> t'�y�Cy <br /> y ^� CITY OF EVEAETT � � DATE � <br /> '+tl H � ' ELECTRIC7IL WIRING PERMZT APPLICATION FEE �� ,� <br /> y <br /> o�� JOH �o�5s �"l3U ��r��,cl'�,r cl ��uc�, � . �`€-.�5��3�/� <br /> ��� TENANT . ��7 PAI�� ���i14iL_�39S�77ti <br /> y y� PROPERTY OWNER '�N..^" / Il.f ��rj�V� <br /> Y <br /> �W H ELECfRICAL CONTRACfOR -Cn N�-OI� �AJC�.. • - <br /> �� p r CONTRACTOR'S ADDRE55 I I ` I S � Z�" ��"�� /�=�-`��--C I TY ��I ZIP ',`� <br /> y�b <br /> HOtyi� G /� <br /> �� � LICENSE N0. J I � � -O� '� �U��� . . E7CPPRATSON DATE _��I�,-1 �i' <br /> � ADMINISTRATOR ��TH'' N Sc7IJ . PHONE N0. >>��' I ZvCO _ • <br /> � VALUE OF WORK � ! S ��� (do not include taxes) <br /> (for commerical work) <br /> � USE OF HUILDING ���""1�� �� n�� c�>"WELL�[ �L� <br /> I <br /> � <br /> • NOTE: WAC 296-46-140 requires that plans foz electrical work at educational, <br /> � institutional or health care facilities be appzoved by the State of Washington. <br /> i Applicants with such jobs must show the State appcoved plans before a City <br /> ' of Everett pe=mit will be issued. ' � <br /> '�1 � . NOTE: Wiring in non dwellings is required to be in conduit. <br /> 1�' <br /> i WORK TO BE DONE: / <br /> � � ; � / ��� /�' ,,�,tw�p ,!3'I�I�I��LA'�5%�TJ1_ ' U C G'�¢ <br /> � � � <br /> � � <br /> �_� . <br /> '_' . <br /> �' <br /> '� , - <br /> � � �� �� . ������� � DATE: �� � - <br /> SIGNED: � �-���1"�T� '� '� � <br /> 1 �. <br /> �' : <br /> 1 <br /> 3/27/90 � <br />