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CITY OF EV6Hli'1"P _. UAY�Ii '-�-4� <br /> ELECTRICAL WIRING PGRMIT APPLICATION FEE <br /> �oH ,�o�ss 74 I � l i�,�er �;,9� D,o <br /> TENANT <br /> PROPERTY OWNER 1� IY< < -- <br /> ELECTRICIIL CONTRACTOR �(�l� F�P �[(�c' �1VJL <br /> CONTRAC'fOR'S ADDRESS Y �� 1l(7`l �S� ^�I�V�U'1L��1 `�6aa2 <br /> CI 2IP <br /> LICENSE NO. �y,.t���1��Z�'' EHPTRATION DATE ' ._�j I ' 1 Z / <br /> ADMINISTMTOR 1�pT Hcll�YNS PIIONE NO. �Zy- o(o� ��_ <br /> VALUE OF WORK (do not include taxes) <br /> (£or ccmmezical work) <br /> USE OF BUILDING <br /> NOTE: WAC 296-46-140 requires that plans for electrical wock at educational, <br /> instit:tional or health care facilitie� be appcoved by the State of Washinqton. <br /> Applicants with such jobs must sliow tl�e State approved plans before a City <br /> of Everett permit will be issued. <br /> NOTG: Wiring in non dwellings is requiced to be in conduit. � <br /> WORK TO BE DONE: <br /> a.�[� pTSo� � re �',OG�r �r�hb ' <br /> SIGNED: � ��,I QA1�4 DATE: 7 � I�- -I I <br /> 3/27/90 <br /> .... . . . .... .....-an-r....���._.��..�, ... _,....,,...,r .nc'. .-i . .. ,, . .. . , • M ° . <br /> . ... ..n .... . ._ . . .. .. . ' ' .. . ••�.. •q•�. ��.� <br />