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i <br /> i <br /> CITY OF E�lERETT �ATE c� .� �O <br /> ELECTRICAL WIRING PERMIT APPLICaTION FEE � �` <br /> JOB ADDRE55 �%� 7 0.9��5 , �vE/'�'j� <br /> Ter�aNx �s,�/ 1 /"��E1>�E,_5' � <br /> PROPEATY OWNER �_ ," �-C o� G ���0 G �S <br /> ELECfRICAL CONTRACTOR ��rl/�,l�Q 1 l`��=.�d.� ES <br /> CONTRACTOR'S ADDRE55 /��7 0�9�f'� 5' �d�/Ei� _� ��-2ri/ <br /> • • CITY ZIP <br /> LICENSE N0. � � E)�TRATION DATE . <br /> ADMINISTRATOR � . PHONE NO. , �` S�9' �-?7i� • • <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> OSE OF BUILDZNG �/_7 O / <br /> NOTE: WAC 296-46-140 requires that plans for elect=ical work at educational, <br /> institutional or health care facilities be ancroved by the State of washington. <br /> Applicanis with such jobs must show the State approved plans befo're a City <br /> of Everett permit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> WORK TO BE DONE: <br /> �,�iS�E,v �'vc✓ <br /> II/ E/�/ �oo' �9�� �-� c'F,P!/, C� <br /> SIGNED: �pt/Jd��I JC / O�il/�� -.� DATE: S-'-��/�O <br /> 3/27/90 <br />