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i <br /> ! <br /> i <br /> ; <br /> �fi� <br /> CITY OF EVERETT ' �� DATE Z y 7,� <br /> 7 ✓ <br /> ELECTRICAL WIRING PERt•SIT :�DPLZCATION FEE �"- _ <br /> �� JOB ADDRESS %?J2. �/ � �C� S�jJ. �U l / <br /> TENANT <br /> PROPERTY OWNER ��(�(°"r �I()((i1�S <br /> �1''; ELECTR'.CAL CQNTRACTOR � � rV� �LCCTT�IC_ /�IC'' <br /> �� �n �8x 3�-/7y �rn�QN,UD h-�r4 � �3Yz� <br /> '�� CONTRACTOR'S ADDRESS <br /> ;.�. CITY ZIP �.. <br /> LICENSE NO. � {1trLCT-!E`�OU�'�_ EXPTRATION DATE � <br /> ADMINISTRATOR �'7� �{(qC7'� _ PHONE NO. �--�J'ZZ6 � <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING �E1,1 �CS/n�N F <br /> NOTE: WAC 296-��6-140 requires that plans for electrical work at educational, <br /> institut:ional or health care facilities be approved by the State of Washington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett permit will be issued. <br /> , NOTE: Wiring in non dwellings is :-equired to be in conduit. <br /> WORK TO BE DONE: j <br /> v� � <br /> C,�ry����n ��lJ�� �� <br /> NEr� {�csiacucE � <br /> T �r�r �c.so i <br /> I <br /> SIGNED: DATE: Z �! <br /> I � <br /> i <br /> 3,/27/90 <br /> �� <br /> i <br /> � <br />