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CITY OF EVEAETT DAT� � "-�� ",/L% <br /> �i <br /> ELECT?t2GL WIRING PERMIT APPLIGITION FEE �O <br /> � z <br /> sos aooxEss ...�.� ,�2 1f����2�Z�>7 , �l�''�C:� �G� � <br /> TENANT <br /> PROPERTY OWNER �/�2L-��(i � ��i <br /> �crxicr,r. coNxxt+crox � '(" . �� . 1 c'f � �l�'�f?ll C�o7 <br /> } <br /> �o���R�s �o�ss ��l�o�� �/��r 99 �ct� ��, �" �r,�,�c���l���r `11°����� <br /> , . cxx�r zxP <br /> y/ `, /L� �- <br /> LICENSE N0. (/',�(.�PCU�� /l�C'�J �i� . �� � EXPTRATION DATE . <br /> ADMINISTRATOR . . PHONE NO. _" � <br /> - VALUE OF WORK � (do not include taxes) <br /> (for commerical work) <br /> USE OF BUZLDING �I�I� I��/ <br /> r <br /> NOTE: WAC 296-46-140 =equires that plans for electrical work at educational, <br /> institutional or health caze facilities be ancroved by the State of washington. <br /> Applicanis with such jobs must show the State approved plans before a City <br /> of EVerett pezmi.t will be issued. ' <br /> NOTE: Wiring in non dwellings is required to be ia conduit. <br /> WOR1C TO BE DONE: <br /> •,� � �� /IJ� � � <br /> � / <br /> l.!// ' -.�Jr_`�D <br /> SIGNED: �\ �% .` t �� DATE: .� <br /> 3/27/90 <br />