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_ � <br />L' <br />CITY OF EVERE'f'T <br />DATE <br />9 <br />ELECTRICAL WIRING PE�Ri'I�IIjT APPLICATION <br />FEE <br />/ / //�! <br />/:AJOB <br />ADDRESS <br />A <br />TENANT <br />l o xGG Y <br />ta" <br />PROPERTY OWNE':t .d Pr7` <br />aSa <br />ELECTRICAL CONTRACTOR <br />0=0 <br />HCONTRACTOR'S <br />ADDRESS <br />CITY <br />ZIP <br />z <br />HC7 <br />LICENSE N0. <br />EXPT_RATION DATE <br />0 � 0 <br />ADMINISTRATOR <br />PPHONENo. <br />H <br />(do not include taxes) <br />VALUE OF WORK <br />r r y <br />(for commerical work) <br />g V, <br />S <br />n t1 V7 <br />USE OF BUILDING <br />[r <br />M <br />NOTE: WAC 296-46-140 requires that plans for <br />electrical work <br />at educational, <br />Washington. <br />z H <br />H OCn <br />institutional or health care facilities <br />be approved by <br />the State of <br />City <br />Applicants with such jobs must slow <br />the State approved <br />plans before <br />a <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required <br />to be in conduit. <br />\ <br />i <br />WORK TO BE DONE: <br />d <br />1'eryi'c4- �dD <br />12'1'z'r' f0 e/�> <br />SIGNED: -E�' DATE: <br />3/27/90 <br />r r. rw .. . .� ... ..... ......... r. SYTft w•rua�\.ro:. � nw •w.T�'IT\�f+P^'f' : t— ., �. <br />