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[�J b7 � <br />O�x <br />[.," H <br />9HV� <br />4 <br />F!� � C] <br />H il <br />'�9H"�i1 <br />U7 H <br />x <br />��d <br />OH�y <br />H I�] Ci <br />�1]Y (] <br />zH�aH <br />rHH <br />g �' <br />c�t7f� <br />��M <br />Z H C/� <br />HO(n <br />� <br />� <br />/ <br />CITY OF EVEHETT �"'� . <br />ELECTRICAL WIRING PERMIT APPLICATZON <br />FEE JJ �� <br />Joe r,��xEss �7 ' c� l� i/' C/ t/ /�=f <br />TEI4ANT <br />PROPERTY OWNER <br />i;- r. , i � <br />i <br />ELECTRIGIL CONTRACTOR F/'� � � l` �-��- � <br />CONTRACTOR'S ADDRESS �%��/! /R� �. c -- � ,� _:/��-/f0�1�e�1 �C �`1��-. <br />CZTY ZIP <br />� <br />LZCENSE N0. % h° C L S/'� ? 9..iC-' Y EXPIRATION DATE �_ %- /�� /� �- <br />ADMINISTRATOR ,(� /' / C �' .�l �-/�/-'� � =�''`'' pHONE N0. .! L� � '- 4 Z `�' C- <br />VALllE OF tPOAK (do not include taxes) <br />(for commerical work) <br />USE OF HUILDING <br />� _. <br />NOTE: I4AC 29G-46-140 zequires that plans for electrical work at educational, <br />institutional or health case facilities be approved by the State of t9ashington. <br />elpolicants with such jobs must show the State approved plans beiore a City <br />o£ Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WGRK TO SE DONE: <br />�� '�> <br />SIGNED: -���- � - <br />c <br />3/27/90 <br />i <br />DATE• /l �, �9 � <br />