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CITY OF EVERETT ��, <br /> DATE �� �/ <br /> �', <br /> ELECTRICAL WIRING PERMIT APPLICATION � FEE -'r�' •' <br /> � „�'��'�! � JOB 71DDRESS � (C7� �� � yJ c<;� �J C S� <br /> k�xl S TENnNT X N��J` �I'�/�� <br /> � H - <br /> 9 H tn p� �L <br /> 9 PROPERTY OWNER .�l /n Sff2/L�7 /�CTIIs� �� �" ' <br /> y5��-+ . <br /> O 50 ELECTAICAI. CONTRACTOA _��l"II"n�I'� S �-/�CT' <br /> v A / <br /> � f/�h�i CONTR7ICTOR'S ADDRESS ��()� I � � /i'V�'� )2/� /!/� S/_J'1%<j/!�C�rif <br /> � L� CITY 2IP <br /> O H� LICENSE N0. , �'fIl1I#�F'l ���� EXPSPATION DATE � �r <br /> � � . ,�� <br /> �" n ADMINISTRATOR !{� f'C7Z�4� Puor,� No. l �-�i79.I <br /> H ,, <br /> z �+� <br /> r y z VALUE OF WORk: _ (do not ir.clude taxcs) <br /> H'� (for commcrical work) <br /> ti <br /> H r > <br /> n d� USE OP �UILDItJG S ` I� <br /> � �M <br /> y �H y NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities he approved by the State of t9asliington. <br /> Applicants with sach jo6s musC show [he State approved plans before a City <br /> of Gverett permit will be issucd. � <br /> NOTE: 4liring in non dwellin9s is zcyuiicd to t:c in conduiC. <br /> � � <br /> � � WORK TO DE DONE: <br /> 1„/tILC � /-, 1�', � c C '�� �' "/"�'/'� — <br /> � <br /> !.� � �'nsi!-, r <br /> r.� " <br /> _ .,� <br /> i f"'� - <br /> i� v��i DATL: ���/ / �! � <br /> SIGtJED: hiLo� !'l�tl �' <br /> d �� � �- � <br /> �r � r <br /> J/27/90 <br /> t <br />