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g�„ i <br />,t:. i <br />�i.: <br />f <br />�'j; <br />�'� . <br />G*'� �; <br />CITY OF EVERETT DATE //- / j- 5 �' <br />�- (%O <br />ELECTRICAL WIRING PERMIT APPLICATION FEE 2�J <br />Jos a��xess i'o��L- 5i � i�� a� ��Ft��T ��� <br />TENANT ✓�C:<, L fll�/� ' <br />PROPERTY OWNER /�,n,✓i� L� f%l/�� <br />ELECTRICAL CONTRACTOR <br />CONTRACTOR'S ADDRESS <br />LICENSE NO. <br />ADMINISTRATOR <br />VALUE OF WORK <br />(for commerical <br />��� <br />USE OF BUILDING �!'"hi�.^%� NG,%iC <br />CITY <br />ZIP <br />EXPTRATION DATE _ <br />PHONE NO. ��� "- / ��/ <br />(do not include taxes) <br />NOTE: WAC 296-46-140 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 shew the State approved plans before a City <br />of Everett permit will be issued. <br />NOTE: Wiring in non dwellings is required to be in conduit. <br />WORK TO BI: DONE: <br />�x-T..-�� �XJ��N<� cV; .i'.Ny !.� FL Lc',�V f t�1= /J•�F) /k%7��/'� <br />� ��S , 7� �'�--� <br />��- J C �� � � � = - =�. <br />.* i7 �,i3y": i,5:sc r�� iJc r �.,.;T.��;_,.,� <br />SZGNED: <br />3/27/90 <br />� <br />� <br />DATE: /�-��,�' /� <br />