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CITY OF EVERETT � ,� DATE (j - [7S-� <br /> ELECTRICAL WIRING PEAMIT APPLICATION FEE � ��w <br /> JOB ADDRESS �� a q� I 11C Z <br /> TENANT � '^'�-rc'ic�"t�� f��{�J'd'� L�_S _ �� / �[. <br /> v <br /> PROYERTY OWNER ���RY f1'13 GO% <br /> EL6CPRICAL CONTRACfOR �� 9� F�iJ� <br /> CONTRACfOR'S ADDRESS 27I y- 7� s�• �V�� RS��Y <br /> ' • CITY 2IP <br /> LICENSE N0. �-� �l�G D I(�f B 4 - � � E7�TRATION DATE, 3 I�-9�4 t <br /> ' 11DMINISTR7►TOR h J�le U�L'c l�� ASSe - PHpNE N0. 3 3 �! - 7-'•l� 2 ' - <br /> ( � <br /> , VALUB OF WOR1C '3 O (do not include taxea) <br /> i (for con�erical wozk <br /> ' USE OF BUILDING /KOT�` <br /> NOTE: NAC 296-46-140 zequizes that plans for electrical work at educational, <br /> institutional or health care facilities be appzoved by thr State of Waehington. <br /> i appiicanta with auch joba must ahow the State approved plana befo'r: a City <br /> � of Everett pezmit will be isaued. <br /> i <br /> iNOTE: Wirinq in non dwellinqs is required to be in conduit. <br /> i <br /> i <br /> � WORK TO BH DONE: <br /> � <br /> � ��.c� rQn.c,u-u� <br /> , — <br /> � . . <br /> � <br /> SIGNEDs �CJ� �t•�it ✓AA� _ DATE: _ 6 � 3 _ <br /> 3/27/90 <br />