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CITY OF EVERETT DA7E—��/�/� <br /> ELECTRICAL WIRING PEAMIT APPLICATION FEE�- �� <br /> JOB ADDRESS j�C IO y W c / M IR L �F U�L L (�J�L�[L�_ I <br /> I <br /> TENANT <br /> PROPERTY OWNER At II M �� HOIM <br /> ELECfRICAL CONTRACfOR TEPS ��r�IC/e _ <br /> CONTRACTOR'S ADDRESS G r3 � oc� �� A� k��_Q��Is���p qJLt�O <br /> I.ICENSE NO. �EPS '�� I�OV7 EXPIRATION DATE _ � I <br /> ADMINISTRATOR P O �(/EQSG / '1I Nf PIiONE N0. � S � ��S// <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING �tS/�tw.�.Q `��1� <br /> T <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 City <br /> of Everett permit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in condvit. <br /> WORK TO BE DONE: <br /> /N.s�a� I l-l�«� C/a C K%f' <br /> SIGNED: _���!'��. �V'�/L DATE: II � <br /> 3/27/90 <br />