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� H <br /> � � m <br /> l � � <br /> CITY OF EVEAETT F„ { � DATE "��� d, I <br /> � H 7 L7�- <br /> O W O ELECTItLCAL WIRING PERMIT APPLIC.lTION FEE ��S <br /> � N H <br /> � � � soH z�o�ss � I�� (�nk5 E_ �Ia���t�' <br /> O N <br /> H � TENANT <br /> H � -�- \ �'" (`� -�- <br /> � .~] � PROPEATY OWNER \1 \lU\� "� ` �`C��`C�1�Yr� �`'�f 1� <br /> t+ H �' ` ' M J <br /> � d y ELECTRICAL CONTRACTOR l'� i �\(�Yl`\\t� F \F ZYL�C-- <br /> � � r CONTRACTOR'S ADDRESS ��3� ���'�L 51, S W 1-�i�fJNl1JCn1.� �Jc+ . C����3� <br /> �'�' � � � CZTY � ZIP <br /> ' LICENSE N0. � MI-�1��L I�3 �Y1� � EXPSRATION DATE S 3� f�� <br /> � ADNINISTFWTOR r\ IC IL I- � \(a12 1�N . PHONE N0. ��I�-� �5 �� � � ��. <br /> � VALUE OF WORK (do not include taxes) <br /> (for commerical woxk) <br /> USE OF DUILDING 1 �Il <br /> t <br /> � NOTE: WAC 296-46-140 requires that plans for electrical work at educat±onal, <br /> �.. .., institutional or health care facilities be aoproved by the State of Washington. <br /> i . Aonlicants with such jobs must show the State approved plans before a City <br /> C� o£ Everett permit will be issued. <br /> 1 NOTE: Wiring in non dwellings is required to be in conduit. <br /> '�� <br /> ��� <br /> � � WORK TO BE DONE: , <br /> .._ �1����,,,� .������c�� f� 2��JA ���' <br /> � i__� � � <br /> i�—� � <br /> � <br /> I 1 ' � � SIGNED: //�" ��� ":.'•�� DATE• ��"��I- (1i I i <br /> �J <br /> i ir` r..,. <br /> ���� � � <br /> �r� <br /> � <br /> 3/27/90 <br /> I <br />