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i <br /> �%,�� i-�. <br /> - ,aTs ' '� /i�C/ <br /> CITY OF EVERETT <br /> ELECTRICAL WIRING PERMIT P.PPLZCATION FEE� I <br /> H C]1-� <br /> �a y Jos aD�xEss �L/ Z`f !� r �P� �/e� <br /> ,ozx <br /> a y v�, TaNr,r�T <br /> y �3 PROPERTY OWNER _/ v �1� M� �1 F <br /> � y� /l ./ ,C_- L � � -- <br /> O 5 O ELECTRICAL CONTRACTOR i 7 T �' �' ' � <br /> 'i1 F-1'� <br /> v��-+ . S��PV+�i9 S :`5�2.i�� <br /> � O.t"�, CONTRACTOR'S ADDRESS II�� � ��� � �� � <br /> �i CITY ZIP <br /> Hq /� / / <br /> � �g LZCENSE N0. � FL /�� /���` C- EXPSRATION DATE �_/ �� �1� . <br /> x �..�� � / 1 J�/J9-v /-• PHONE N0. �-3 f Jl S / <br /> y ADMINISTRATOR �/I"' <br /> ryz <br /> H H VALUE OF WORK (do not include taxes) <br /> g �H (for commerical work) <br /> �" d❑� • f <br /> 3, C'1� { USE OF BUILDING �� �/1' Y � <br /> �:� e i <br /> 7.' H N � <br /> y �y ' NOTE: SaAC 29G-46-190 xecuires that plans for electrical work at educational, , <br /> � institutional or health care faciliti�s be approved by the State of t4ashington. . <br /> 1 �lpplicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issned. � <br /> I <br /> . NOTE: Wiring in non dwellings is required to be in conduit. ' <br /> +w � ,�: . . �: <br /> ' WORK TO BS DONE: <br /> w + � <br /> : - .�C� o ,�- �� _Y� l- v, c r S � �, �� ���� •..� k!iJ-�' � <br /> c <br /> ��.. 1 <br /> { j <br /> � ���) " � "' ���i;�� �nTe: '�� ���' <br /> SIGNED: lz�172"1 �7�-•- re-•-.•.-t -'/ � <br /> � ; i <br /> � <br /> f�) � <br /> 3/27/90 <br />