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CITY OP EVERETT DT�TE � Ly -�)� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE S S �—� <br /> JOH ADDR�55 - � �� ���UnT S � <br /> �n�„� TENANT <br /> 'i1 <br /> p�x PROPERTY OWNER �'�r /L I�"�I"I�L L`IiT L �I/LIrV <br /> > H W ELECTRICAI• CONTRACTOR I��` � (�n� �.'C��C - <br /> � <br /> � n CUNTRACTOR'S ADDRESS ._j V � � IL<<l��-�/���t <br /> O "y.0 O CITY ZIP <br /> �y�"� LICENSE N0. I�"� �(,� /4J ��y 7�/C�� EXPIRATIGN DATE Z ' Z.� - j � <br /> � (/ <br /> x <br /> O Qy �y ADIdINISTR7�TOR L°,{I((tM�L ('L( L L�d�%� PHON6 N0. �z ) � - 1 ���/ � <br /> � C+7� VALUE OF WORK (do not include taxes) <br /> zM 3 (for commerical work) <br /> � HCd <br /> M y USE OF 6UILDING �.J��� �'-� � ���L <br /> y <br /> n d y NCTE: 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 /> Crq Applicants with such jobs must show the State approved plans before a City <br /> y�y of Everett permit will be issued. <br /> � :toTE: Wiring in non dwellings is required to be in conduit. <br /> 1 PlORIC TO BE DONE: <br /> � <br /> ��� �Ut-. /1'/�4F� //(� 5�=��U� � i_ <br /> Y�C/C C%�7/c �'u�J i� f�i`c/�j-- <br /> �� �� — <br /> 1 �� - <br /> / �, <br /> SIGNED: 7��,�.r, �,� DATE: S��Lf' - 7'� <br /> � � <br /> �� ___ <br /> i <br /> I <br /> \ <br /> 3/27/90 <br />