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y O H <br /> � � � <br /> kJ � x <br /> Q N <br /> � HV� <br /> y � H <br /> FC C] <br /> H x1 <br /> y y � CITY OF EVERETT DATE g- y- �rI <br /> � z <br /> y ty ELECTRICAL F]IRZNG PEP.MIT Af'PLZCATION FEE � S. G �� <br /> OH �y <br /> HC�+76 ` ,,�J <br /> H� � J03 I�DDR�SS � I `JC' � � > � � V- <br /> t" y� <br /> TF.NANT <br /> !�/� y �,� .yr/ /� <br /> � d y PROPERTY GWNER TP/'P /�`2 //'� C �� <br /> �i � [rx� CLECTRICAL CONTRACTOk ��C G/.t/ C'E'G//e/C. <br /> y � � CONTRACTOR'S AP.DI,ESS ,7�0 /S� /( /lO.� ��-- G�u-r'�n_�� �cD I _ <br /> CITY ZIP <br /> LICENSE N0. �� G /NE 7 7CI e f"- _ EXPiRATION DATE _ oi - a�ts- �� <br /> ADMZNISTRATOR ��/1,(, {��C G��✓� 2HONE NO. `J.4�.��- S�d� �(7 <br /> VALUE OF 4IORK � (dc not includ� taxes) <br /> (for co�americal work) <br /> USE OF BUILDING y �" S Vl.l-(i'✓ ✓/A C <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educaticnal, <br /> � institutional or health care facilities be approved by the State of Washington. <br /> '�1 Applicants with such jobs must show the State approved plans before a Cicy <br /> ' ' of Everett permit will be issued. <br /> � <br /> NOTE: Wiring in non dweilinas is required tu be in conduit. <br /> '�1 <br /> I�' WORK TO BE DONE: <br /> ' � _ /�m.�o,•�Hra.�/ �-��i• cJ �C �. <br /> �� <br /> �1 <br /> � <br /> � <br /> o' <br /> 0 c� <br /> a_0 SIGNED: � DATE: / - �� J� <br /> O <br /> 3/27/90 <br /> I <br />