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CITY OF EVERETT �y �"'+ DATE • L` <br /> ` ; cn <br /> ELECTRICAL WIRING PERh1ZT t.PPLICATION FEE ZC7 <br /> soB �0�55 ��.to �."� D�R,. �.� . /[�v�24lZi�►�c.�' �S� <br /> TENANT <br /> PROPERTY OWNER {�bS�� �-�H�1 S�U���Q� <br /> ELECTRICAL CONTRACTOR ��UO�,n�'.SN ���N i Y I?L�� C�• � I <br /> CONTRACTOR'S ADDRES S `� 232L) ��AL.I f=tlR,(�11 A S�, F�I�E I��Ib�`1.g ZG(��, <br /> CITY ZIP <br /> LICENSE N0. �LID IS'�'� O�� � � EXPTRATIOP] DATE ' '3'j�� 1 3 <br /> ADMINISTRATOR���,�E. S!^�E PHONE N0. � lO " �C-4c� <br /> VALUE OF WORK (do not inclu3e taxes) <br /> (for commerical work) <br /> USE OF BUILDING <br /> NOTE: WAC 296-46-190 requires that plans for electrical work at educational, <br /> institutional or health care facilities be a�proved by the State of Washington. <br /> Apolicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> NOTE: Wiring in non dwellings i.s required to be in conduit. <br /> WORK TO BE DONE: � <br /> t�� u �.c i�p�— t�'l1�t)�� S�'�Ut c� <br /> SIGNED: DATE: � � L��I <br /> � �;,�v� �c�,' �� s�;�ir�.,° ���� �� z�8--8 29 3 <br /> 3/27/90 <br />