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CI'°Y OF EVERETT DATE <br /> ' EL�CT_T.2IG1L WIRING PERMIT P.PPLICATIUN � FEE � ' � <br /> JOB e1DDRESS _ ���(� �IV/�U.'P.cU �I!/.^ <br /> TEN.INT /fl.�/'�;i1lz`7I] ���,Q . <br /> PROPERTY OWNER �1���' � W�v�— <br /> ELECTRICAL CONTRACTOR S W r IJ�O [U `y I �C � <br /> CONTRACTOR'S ADDRESS � l � �5 - i a�l A v �E �WL(`l l.v '1 (� �� � '3� <br /> CITY ZIP <br /> s 11�nt��n7T� "I l'1 I � G� <br /> LZCENSE N0. ��nNTni•_ in� � E}�TRATION DATE �' <br /> ADMINISTRATOR � (J..JQK11..��JL� . PHONE N0. 3 3� ' I 2 5�(( - <br /> VALUE OF WORK � V • �`� (do not include taxes) <br /> (for commerical work) <br /> USE OF HUTLDING 1�'�L�.�I V\ � � �VII.��'�lh.I�i C��. <br /> NOTE: WAC 296-46-140 requires that plans for electrical c�ork at educational, <br /> institutional or health care facilities be anproved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans befo're a City <br /> of Everett nemit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> 470RK TO BE DONE: I <br /> / i � a I�-u�u��aee. eaY, v�eh ��� t� <br /> �ar� <br /> SIGNED: ��'�t�C�/�'�y����!:�f���: �/, DATE: C� �S %�U <br /> � <br /> 3/27/90 _` <br /> , � fy �,-7 �:, .i 7 r, r ---, SUi."0]'107J6 <br /> � ;'� t�5 !": �� ti 4. :S � t1 � SUNLGP101.1E <br /> � �' f <br /> ! ;�i�� <` �, . <br /> ___ . . .__ ..... <br /> CITY OF EVERETT <br /> PuL•lic Works Dcu:. <br />