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CITY OF EVERLTT DATE ��-�r �/ <br /> ELECTRICAL WIRING PERI42T APPLICATZON FEE <br /> Jos �w�xEss `l`t/�iX� .�'SUNl; �U� <br /> TENANT <br /> y n� � PROPERTY OWNER G�F/t 1�� (�C�JY�/ <br /> p� � E:.ECTRICAL CONTRACTOR �C T1�5ti1 L-'7.L.C��,t; t�.. `'�L/ <br /> yyN CONTRACTOR'S ADDRESS lti(.�� / lilJ � y�/JVC..� ��Z�� <br /> a <br /> p�Q - LICENSE NO. �+/D� ��'�G �'C�- EXPIRlT20N DATE � �Z' �Q " I� <br /> �N~ �lDb1INI5TR1T0R C 1JN�C/I �U PHONENo. 6 �3 %��;SJ <br /> �'LO <br /> y� VALUE OF hORK (do not include taxes) <br /> �n �y ` (for commezical work) <br /> HrH C*7 O � SF� <br /> c��' � USE OF BUILDING <br /> [" Ht� ' <br /> x ± NOTE: WAC 296-46-140 requires that plans for electrical work at educatiot�al, <br /> C N y � institutional or health care facilities be approved by the State of Washington. <br /> nb y � Applicants with sucn jobs nust show the State approved plans before a City <br /> �� � of Everett permit will be issued. <br /> �.�'j. p y NOTE: Wiring in non dwellings is required to 6e in conduic. <br /> � k WORK TO BE DONE: <br /> � � '�'� �,wr;r��� ,� DUil��S ZG/��l <br /> I `� <br /> . : <br /> I �� <br /> '_1_1 , - <br /> �� SIGNE�: DATE: <br /> _= � <br /> �_ � 3/27/90 <br />