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' <br /> H <br /> b ) <br /> �O � . CITY OF GVEItETT � � DATC � 'I/�. C/ � . . <br /> H � N ���� <br /> ' Hn EL6CTRICI�L WIRING P6Rb1IT I�PPLICI1TIOt1 FCE <br /> �� M 97 �1 (� <br /> � N M .700 ]1DDRGSS /� � � D�7 F- � S I <br /> 0 M � TEN 7 1 NT } U 1 i 'f �l �I (I✓'e W 5 _ <br /> 9e � <br /> H � � PROPERTY OWNER �Ce 11^..< <br /> � M / t r �� � <br /> M ELECTftICAL CONTRACTOR ( P 1 ' �e✓�P °1'" �S I. F � �� <br /> � O N COD72A11CTOR'S AD�RESS �' C�� �b�' I Y U (- UP� � �U L�� <br /> � _ ' CITY . ZIP <br /> o � LICENSE N0. C r( ( N l,C /(v f � � EXPSRI�TION DATE .� /O ` / 6 �R ( <br /> ADMINISTRATOR PIIONG N0. �C� � ' Z �.S�- <br /> VALUE OF WORK �� _ ��7o not i.ncludc taxes) <br /> (for commerical work) <br /> r ( <br /> USE OF HUILDING SIC� Pct C"/ <br /> NOTE: WAC 296-46-140 requires tliat: plans for electrical work at educational, <br /> institutional r,r health ca+.e facilities be approved by the State of Washington. <br /> ApplicanEs with such jo6s must show the State approved plans before a City <br /> -'"�:` of Everett permit will bc issued. <br /> ����• <br /> NOTE: SJiring in non dwell.ings; is required to be in conduit. _ <br /> I �� WORK TO Dc DON2: . <br /> j �s� � � <br /> � , 1�.�.,� e� J�c-� �� �Ces, :��� - <br /> ( � 'I <br /> �� <br /> , ,— _ <br /> �� _ <br /> i !I I � SIGNED: � U� .�a c�✓�- DI�TE: 1 ^ � �' ( 1 . <br /> I I • <br /> ��. <br /> :� <br /> \ 3/27/90 <br /> � <br />