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CITi OF EVERETT ' � DATE c,� o� � <br /> ELECTliCJ�L WIRING PERPfIT APPLICATION FEE _56. �0 <br /> Joa �o�s5 s� �s J��� �� . _ <br /> TENIINT _�� � CLSTi Vl S . _ <br /> PROPERTY OWNER V�`F. CC.S � , S <br /> i <br /> ELECTAICI�L CONTRACTOR � _ �� /'�� <br /> CONTRACTOIi'S ADDRESS `1 �O� '� L) � � e- /���1 � � �V`S�I! e '7 Od� �O <br /> ' �I ZIP <br /> LICENSE NO. Sl D S l...E L I a' � �IC � EXPTRI�TION DATE I � D �U <br /> ADMItiISTRATOR r,� � I�`Q/k��`— PHONE NO. ��J`� 7U� � � <br /> VAI.UE OF WORK (do not include taxe:;) <br /> (foz commerical work) / <br /> l J <br /> USE OF f3UILDING _�'L ��� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans befo're a City <br /> of Everett permit will be iss�ed. � <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> WORX. TO SE DONE: <br /> --�,1�� C „ ,r �l � c� -� ��—�_� <br /> _ �1 N� CI C �. r, ;� -�r D-w� J (� . � � r_ • <br /> • U im � � <br /> SIGNED: , � _ DATE: <br /> 3/27/90 <br />