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CITY OF EVCRETT DnTE J/ �/ <br /> H ELECTRICAL WIRING PERFIIT APPLICATION <br /> FEE <br /> A� '�tl I1A r ��1 / f,, Q <br /> CyC JOB Iti7DRE55 /Il` � L'y'C��1C'1 C �I� Vc% �J��/ <br /> � �,�, TENANT �AV�— �( L-I SA �f���/`I <br /> K y ,h�y PROPERTY OWNER ��1�2 L: f�S ���C��✓C . __ <br /> � f/�M ELECTRICAL CONTRACTOR �S I Y <br /> "' i,�, � CONTRACTOR'S ADDRESS 'S��J�� ��'-' "I''����� CITY yip <br /> ON �1 <br /> M�" LICENSE NO. EXPIRI�TZON DnTE �� <br /> -�i H�y, ADMINISTRATOR P130NE NO. ��/ ��`/� <br /> O y H V7�LUE OF WORK (do not include taxes) <br /> ��yr (for commerical work) <br /> H N USE OF BUILDING �F��7 t'-N�'F i <br /> ow <br /> NOTE: wAC 296-46-140 xequires that plans for electrical work at educational, <br /> institutional or health care facilities be approved by the State of t4ast�ington. <br /> Applicants with such jobs must show the State approved plans before a City . <br /> of Everett permit will be issued. <br /> C� NOTE: Wiring in non dwellings is required to 6e in wnduit. <br /> � WOliK TO BE DONE: ' <br /> I `� r"� T /n/ G �cr[F� � ��li(iii° /Ir/� 35«�ilt�1C5 /rl l,lr w 1�FD1'C�'�' � J <br /> {{1=,� �1�DF(. �1C�rzu ��� �'�r �n! .� E�rf7z'ic_ NE,�,; inl �lrcJ��_��_ <br /> 1 <br /> , l c�� ���;� �E c cr�1=i� HE�-i�-�tn�P/F�t�/ � /i�if" �N t-x��,���i.� <br /> �.► Lr�� �.� �,a � <br /> /•�•�, RtaJ' /�n <br /> L� 1 <br /> 1 SIGNED /��^1 � � DATC: `7 7 � <br /> `�. <br /> 3/27/90 <br />