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� � <br /> H <br /> C H <br /> � H f/� <br /> H� H <br /> FC O <br /> H hf <br /> y y � CITY OF EVERETT .,,� �ATE `J � <br /> r� � <br /> OQ y� ELECTRICAL WIRING PERh12T APPLICATION FEE � ,°� . <br /> H� g Joe ,woxsss �'7Z� �(V�r,i" V I c Lcl ����� .���i ,-� �S3 �.�IG�� <br /> -�i y�y TEN7INT l�//] �.0 � �l f, QA�I�(JI <br /> �yHH <br /> O y H PROPE2TY OWNER '�'rii^° / 11-C— /�'13vV� . <br /> �C�5C y <br /> "� ����+++q ELECTRICAL CONTRACTOR � �! � 1� n i� y�(J(� • <br /> hN �y /'� AA / <br /> HOCn CONTRACTOR'S ADDRESS II lIS IZ�- �I�I" /'IUL- /\'L. k12.ILLf��NI�� ��?7�I <br /> ^—rCITY 2IP <br /> � LICENSE N0. �7 I I A�/ !) C '� I U�J{J � EXPTFUITION DATE ��I Z��� <br /> ADMZNISTRATOP. l7�TN /�J ��` 1V . PHONE NO. �i�� 1'� IZ.7Z[7 � � <br /> ' VALUE OF WORK � r( 5 ��� (do not include taxes) <br /> (for commerical work) <br /> � USE OF BUILDING �♦V3t ��ti11i /i"L d��WELL( NL� � <br /> i <br /> � NOTE: WAC 296-46-140 zequises that plans for electrical work at educational, <br /> ' institutiona2 or health care facilities be approved by the State of Washington. � <br /> '�1 . Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> 1�' NOTE: Wiring in non dwellings is sequired to be in conduit. <br /> ' 1 <br /> '_' WORK TO BE DONE: <br /> ' I / I.`J /�" cfi�C,tiJ�/1CLE-�' �01�t,l�Go'�Slrh'l ��O C�C�¢ <br /> � <br /> '_� — <br /> ��� <br /> ' . ! . i',�==P�=G-�-- ��G '"""� 9 '- DATE: S �1"� <br /> � SIGNED: / <br /> '—' <br /> 3/27/90 <br />