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� ��" � <br /> D'atl x <br /> � H5fi� <br /> Hx � <br /> FCy � � <br /> CITY OF EVERETT �ATE 'J <br /> �y� � i� <br /> y Er��TRICAL WIRING PERMIT AYrLICATION FEE � ,'� <br /> z <br /> o��dy // 1 <br /> -(�i td O JOB ,1noRE5� ;� /0: �( V�{�(�/ fli,� �U�. JZ�," . �' �S.S ��Jl <br /> ��� � zEN�z �a'l�cu,�1 "nl'���ua� . <br /> NH PROPERTYOWNER �/�-{'11E IF'S /7"IJ(7VE' <br /> � <br /> f�Gl7 t~A ELECTRICAL CONTRACTOR �LN�-O�� �/�JL • <br /> W t" R ,{ /// (�p <br /> y �y CONTRACTOR'SADDRESS II lIS ( Z�- TI�" vG ��{.l (j.�Lf��/�7� -II����� <br /> H O (A CITY ZIP <br /> ' LICENSE N0. j /,( � O�[ �- ID�V V � EXPTRATION DATE _�I�,'1 � <br /> ��. ADMINISTRATOR ��"("F{-� ���N . PHONE N0. ��j�" �ZJ�tJ ' <br /> . VALUE OF WORK yf / S•�� (do not include taxes) <br /> (for commerical wozk) <br /> ' USE OF BUILDIHG �CSJI '. I�� 'L <11�C�UELL( /UL'1 <br /> i <br /> NOTE: WAC 296-46-140 requires that plans fcr electrical wozk at educational, <br /> � institutional or health care facilities be approved by the State of Washington. <br /> � � Applicants with such jobs must show the State aporoved plans befcre a City <br /> ' of Everett permit will be issued. � � <br /> 1 ; � NOTE: Wiring in non dwellings is required to be in conduit. <br /> ' 1 WORK TO BF. DONE: <br /> ��� � �5 rv �LI�G(�!'/7GL ,P �D1'�I�Y.0�5/ rJ!'l '7� �71+� <br /> � , <br /> � <br /> � . <br /> �; <br /> �1 <br /> / <br /> / r ., a <br /> _� �' / % , <br /> � . <br /> SIGNED: � li��r���/` `' ���` DATE: � ��` - /c%' <br /> ' <br /> � � o [� 6 � Ud � O <br /> 3/27/90 � <br /> MAY 2 5 1990 <br /> __ .............._...........__.......� <br /> CITY OF EVERETT <br /> Public Works Dcpt. <br />