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y H <br />N � <br />10 G <br />b H V� <br />� � � <br />O � O <br />� N M <br />� H � <br />O N <br />��� <br />M, <br />� y �H <br />N <br />C N <br />�i ro r <br />�3 O N <br />'... ... <br />i � �� <br />CITY OF EVERETT \ <br />`" DATE Z���I�' �-� <br />ELECTRICAL WIRING PERI�LLT APPLICATION FEE `(/�''�''�J <br />� �� r, \ � <br />Jo� �oa�ss ;-� 7 � P I l,� �'1'� �� �Z_ I�11 1 L`It �li ;�i' <br />TENANT <br />PROPERTY OWNER. <br />A��I-IvN.� s �zF�,-<<���,�-��r <br />� <br />ELECTRICAL CONTRACTOR q`�'� 'L� IC I�I � ��� ��� �� � N TC- K' �" It'( �1 Il_ I( I n� C.� // �L U <br />CONTRACTOR' S ADDRESS i �(0 �- Ir (��t N f�FY� � �y_� �L�� "I j 3 I S _ <br />CITY ZIP <br />LICENSE NO. MC: Il 1 DC (- 3 l�� �>� `" EXPIRATION DATE � 1I�� � <br />ADMZNISTRJITOA ( � � i i�l-�� �L'< <� I< FI ' i-f til- K� <br />VALUE OF WORK C ���1'��� <br />(for commerical work) .. <br />USE OF HUZLDING 1z��`��� �����1-��� �' <br />PIIONE NO. ��I�1" � )�� 1�� <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires th.:`. plans for electrical work at educational, <br />institutional or health care £acilities be approved by the State of tVashington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Everett permit wi11 be issued. <br />NOTE: Wiring in non dwellings is required to 6e in conduit. <br />WORK TO BE DONE: <br />�i�l��l All li`I�l1�v�j� •' i�il-1� ���u�`�c Jc1���1(' � <br />SIGNED: t ' <br />3/27/90 <br />� <br />oaTe: _ � �� � Z- <br />1 <br />