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� � <br /> CITY OF EVERETT DATE �—���� <br /> ELECTRICT�L WZRING PERMIT APpLICATION FEE <br /> JOD ADDRESS �GI'I� �B� S�Q� <br /> TENANT �� <br /> PROPERTY OWNER _ �"I // �/��P % �`/(�L�S�j.�Ll / <br /> L-�-�. /J � Cdhs�-i2c �irn� <br /> EL�C� CONTRACTOR NCL(�lGC�� <br /> CONTRIICTOR'S ADDRESS P� /JUX /J (J .�/'�/� C,(��j 95�� <br /> CJTY yjp <br /> LICENSE' N0. /�L(�Y�/L/T�3��J� EXPIRATION DATE <br /> ADMINISTRATUR ��CI /`'� C/SC�-G� PIIONE NO. �� / � /I / I <br /> V11LUE OF WORK 3�0, (/�� (do not include taxes) <br /> (for commerical xork) <br /> USE OF IIUILDING C�V�t i�{2.Bk� <br /> NOTE: Wr�C 296-96-190 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 SLate a}»roved plans before a City <br /> of Everett permit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> WOHK TO BE DONE: <br /> • �� hP.uJ _ ccJa��. ���� es 7a !�c l��u��f /Gu���._ <br /> �s �� C-ene..� �-�-ac�-.s ;�el� ,Z� �.�� <br /> _ �x (.� , <br /> � ' <br /> SIGNLD: ¢- a�;� <br /> DATG: <br /> 3/27/90 �� � �� <br />