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�ATE y�/� �� � <br /> CITY OF EV6RETT <br /> FEE } ��J <br /> ELECTRIC7�L WIRING PERMIT APPLICATION <br /> JOB �DCRESS � � � � � � � �'� (t� � r �l I <br /> TENANT �C <` � /� <br /> PROPERTY OF7NER ( � 7 � "`1"���`�'� L/ <br /> � <br /> ELECTRIG'1L CONTRACTOR C�u`": : ��. .-. i`'( ,:• C Y i-, '. <br /> �� � /Z <br /> , j�, ��,�ri,-.�� -_ ; c, <br /> � �/ �r:•�. r/ •� � � <br /> CONTR}1CTOR'S ADDRESS � - �� � CITY ZIP <br /> L7�ENS� N0. C 'i i �'' � ^l� I� n �l `-� <br /> EXPSRATION DATE ��� � s -� `r / <br /> -rci -� .. --G �-. . , <br /> ADMINISTRATOR ��LC/ i� � `�'/ h��S� _ PHONE N0. <br /> VALUE OL•' WORK "�''� �� � (do not include taxes) <br /> (for commerical work) <br /> USE OF BUII.DING ��`. , � �� <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 before a �it� <br /> of Everett permit will be i_sucd. <br /> NOTE: Wis�.ng in non dwellings i= required to be in conduit. <br /> WOAK TO '3E DON2: <br /> �L.C�.Q.'ls^C�T ' f ,�1�l. •'i •�. r - _ <br /> � � ' <br /> 1 .' i DATE: � i i t_ <br /> , 1 <br /> ��r i_�,1\�.� �,..-._. . ' <br /> SIGNED: iI <br /> � <br /> 3/27/90 <br />