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DATE �' '� S'�/ <br /> rCITY OF EVEFETT �� ��'� 7/ � <br /> ELECTRICAL WZRING P£RIdIT APPLICATZON <br /> FEE / `?J <br /> $3/ S Seal,w.✓ .Y.-.r. <br /> JOB ADDRESS <br /> ��� TENANT ��J J {�7(a..�. YI/t'vC.-.�.R Cr <br /> q � 5�,..,z <br /> PAOPERT'1 OWNER <br /> y�� ELECTRICAL CONTRACTOR 7���{ <br /> Ky <br /> O�N� ' C�NTRACTOR'S ADDRE55 ��S �dc��t yip <br /> ' CZTY <br /> yti <br /> � Q� . L:CENSE N0. EY.PTRATION DATE �� <br /> ry ty <br /> ,�,��g ADMINZSTRATOR PHONE N0. iJ S S- S S U,S <br /> Qr n <br /> �sH� �i VALUE OF WORK (do not include taxes) <br /> �.yy (for commerical work) <br /> �y~ /2c'si�� �i � ��' <br /> p y � I USE OF HUILDING <br /> �� <br /> � NOTE: WAC 296-46-140 xequires that plans for electrical worY, at educational, <br /> y institutional or health care faci:ities be approved by the State of Washington. <br /> �� Applicants with such jobs must show tne State approvcd plans before a City <br /> of Everett permit will be issued. <br /> [dOTE: S9iring ir. non dwellings is required to be in conduit. <br /> , �� ' WORK TO BE DONE: <br /> I � �J, I, u...,. 's �'^ ��^� — <br /> � � . �r,..f� eltcf��c d sQ � � <br /> „�F:/;� �-ut � nt( '7�'c c� .�/ t I�7<<c ��r <br /> � _ � r { -- <br /> __ <br /> i � � ��� <br /> ; <br /> i L11 �; _ <br /> � � /�� DATE: �' Z/� �/ <br /> � �� I SIGNED: T�f�-.. 4r��+ <br /> -.J ' <br /> 3/27/90 <br />