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� <br /> � <br /> -;- 3i- �;�� ii <br /> ;�: , � <br /> CITY OF EVERETT DATE� <br /> ELECTRZCAL WIRING PERIdIT APPT,ICATION FEE � w <br /> H�� �a.� �. /J <br /> ��� JOB ADDRESS =,��o� -7� /�/ .�� — <br /> >�CA SENANT ��.�TI 1�-� �✓I � �' R� �� <br /> � n PROPERTY OYINER �y41n+-Q� <br /> H:U ' ' ^ ' � .�n <br /> � H� ELECTRICAL CONiRACTOR �-Y}j'�V1 I�/� .�1'` �C�TIZ�L' � <br /> V7 H[� �7 4 <br /> y 7.3 CONTRACTOR'S ADDRESS /} �( / I � ( �� � � <br /> F� o�� . <br /> ' CITY ZIP <br /> � C�7� LICENSE N0. 1 /M� QI.�� l�`I�JIv� _ EXPTRATION DATE �' �J L- - <br /> x� y� ADMiNISTRF�:OR IL lC1.L �T�M l-�� °HGNE N0. �,��G S� { <br /> C" <br /> � ~y VALUE OF WORK � -� (do not include tuxes) <br /> N <br /> �� (ior commerical aork) /'� <br /> � �r USE OF BUILDING �}�,.fJ ( J.�.tf • � 0 F�� <br /> zyti _ - <br /> H O fn <br /> .-_- ._ . NOTE: WAC 296-46-190 recuires that plans £or electrical •.�ork at educational, <br /> irstitutional or fiealth care facilities be approve3 by the State of t9ashington. <br /> Applicants •.uitn such jobs mus': show the State aporoved olans before a City <br /> of Everett permit will ne issue�?. <br /> � NOTE: Wirir.g in non dwel!ings is r��:ci.red to ?:e in conduit. <br /> � � . <br /> �� <br /> WORK TO BE CONE: <br /> � . � �� ���--•-� C a��- <br /> M �� <br /> �R' <br /> r.� <br /> i" <br /> �, <br /> � � SZGNED: �_ � DATE: I � / ' <br /> �...�1 ' <br /> ' 3/27/90 <br />