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1-1 ii �•-� <br />H <br />DATE <br />�. H N <br />CITY OF EVERETT <br />_ <br />K 0 <br />ELECTRICAL WIRING PERMIT APPLICATION <br />FEE <br />~�•' <br />--�•1 v f/' C�G`12 <br />\ Y/!// �Gy%S% <br />�.'C,[�/_7� <br />H <br />JOB ADDRESS <br />/�j�—L <br />L�I/ <br />Hd <br />TENANT <br />l <br />~ PS <br />G] V cy <br />PROPERTY OWNER C / / Y C'Y ✓! ,7 <br />H <br />I <br />3 <br />ELECTRICAL CONTRACTOR //��✓ fir <br />/ <br />t <br />�y H y <br />ti <br />CONTRACTOR'S ADDRESS AI L 7G r�,'U�'-�'�- J <br />! Z"' - <br />ZIP <br />O i-i <br />CITY <br />f�Ili U1 <br />8 <br />����-� C/•C/LEJ <br />EXPIRATION DATE <br />LICENSE NO. <br />yo <br />' ADMINISTRATOR L- � (/ S T J /Cdll� -- <br />PHONE N0. <br />/�C•'/, (do not include taxes) <br />VALUE OF WORK <br />- (for commerical work) <br />/ <br />i USE OF BUILDING <br />s <br />I <br />- es that plans for electrical work at educational, <br />NOTE: [VAC 296-46-140 requir <br />be approved by the State of Washington. <br />institutional or health care facilities <br />with such jobs must show the State approved plans before a City <br />Applicants <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be <br />- <br />in conduit. <br />WORY. TO BE DONE: <br />�� <br />A <br />_ <br />// <br />`-t/(..iGl � GAL <br />DATE: <br />SIGNED: _ <br />zi <br />3/27/90 <br />