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� <br /> CITY OF EVERETT DATEJ�-IY— �O <br /> fiLECTRICAL WIRZNG PERMIT APFLICATION FEE ' S•^O <br /> �oe ,w�xess Zz/ 1 (/l/r—r7�ro/:.F Av� <br /> TENANT <br /> PROYERTY OWNER �i'�/L<_/;,� � Gk�✓AC- � E7}/G-Z 1.t7/��/Spiy <br /> ELF.CTRICAL CONTRACTOR O Gu.d E�'- <br /> n B � �L, <br /> CONTRACTOR'S ADDRESS 8�0� �(m 7�C([JODIX �V� ��V3 � <br /> CITY ZIP <br /> LICENSE N0. EXPIRATION DATE <br /> ADMINISTRATOR PHONE N0. �S�- ). �'1 3 <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING 6S/i✓GL � ,��rlE-LLiNG I�'4E <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> instituY.ional or health care facilities be approved by the State of Washinqton. <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 dwellinys is required to be in conduit. <br /> WORK TO BE DONE: <br /> /7r�iA�� EXiSr�.c�� �=�XE= P�dX Gai�' C/.E°CurT <br /> .fjRE-7�.C���?. .vi4N�L - !o o a,�-� . <br /> . <br /> SIGNED: I%��,c.li`-`� � i�IY"���L'LL/ DATE: //'/�/' 9u <br /> � <br /> 3/27/90 <br />