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r <br /> t�f y <br /> Q�H - <br /> H�� <br /> � <br /> O y p DATE � <br /> 'il 'i1 CITY OF EVERETT yc i��.y4 r <br /> y � �, ��C� <br /> O O� � ELECTAICW. WIAING PERMIT APPLICATION <br /> ^i} l. Cit_ E P,:!i�:��E JP' �`XJ <br /> H <br /> / <br /> � �, g �29/``� �2r �/i r c� ��v� /�/� 7��� S 3 s S�,79 <br /> 4�� O JOB ADDAE55 � �j <br /> I / - �� � ,<�/ ) % /L/ 1 i: ; ' jt I���1�� l � <br /> �y� TENANT �VQ%I��/I/l�a-'�s�'-` ' � '�; 1 ,, <br /> g�H , ._.� <br /> H PROPERTY OWNEA -� �" ��V� <br /> ��y z ' /�� A p - <br /> '�" ELECTRICIIL CONTRACTOR L � �� � / <br /> �f �.(- /-(vl�i �/�/ j(�1! / F�� � 1J��7`I <br /> � y CONTRACTOR�5 ADDRESS I I � I__5�Z--{� �i'-'-�— . I CITY 2ZP <br /> �- � . �i / 1 A(/ f�T '7F ��1 J� . . EXPTRATION DATE �(7�-1 � <br /> � • LICENSE N0. ,-VV,, . <br /> .(+ � I �I1���'"u PHONE N0. ��' �Z� • • <br /> � ADMINISTRATOR �F��"'�. ,v � ��NICJ - <br /> VALUE OF WOAK Y� ( !J ��� (do not include taxes) <br /> ' (for commerical work) <br /> � USE OF BUILDING �`J G <br /> i / <br /> I <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educationa , <br /> institutional or health care facilities be approved by the State of Washington. <br /> � '��1 ��; Applicants with such jo6s must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> 1�' ' NOTE: Wiring in non dwellings is required to he in conduit. <br /> 1 ' � �f� WORK TO BE DONE: / � _ O G,`.� <br /> '� � J I5� iy fi�Gt�l�/�C�.F�' �D1�l�V�C-4��5/ 1�7� <br /> 1� ,I -- / <br /> �1 . <br /> i <br /> — <br /> 1-� � , �v <br /> ��I%�,, . � <br /> � " `�^ DATE• <br /> � SIGNED: i - .. =.� <br /> �� � ' f <br /> � '� <br /> '- i <br /> 3/27/90 <br />