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t�1 � <br />H <br />ayy <br />H �� <br />� H� <br />� N'i1 <br />VJ H <br />L�1 O � <br />OH <br />��g <br />4]u C] <br />ay� <br />rHy <br />� <br />O C❑y N <br />[+7 <br />H� <br />H O t/� <br />CITY OF EVERETT ;' DATE_ ��' �/ <br />�. � <br />EI.ECTRIC�IL WIRING PERFLTT APPLICATION . . FEE �� <br />aoa aw�t�ss . �/ ;� / S`� � S % . .S- �c/ � <br />TENANT <br />PROPEATY � OWNER _ %�J� ' f'� (J I / ` <br />ELECTAICAL. CONTRACTOR <br />CONTRACTOA'S ADDRESS f/- <br />� �� <br />� � <br />�j�e S/.P�/.Pr�JS 1��,�� <br />CITY 2IP <br />LICENSE N0. �.�Y/��� S� /� SU s � EXPSRATIOt7 DATE i S� `S^- � z <br />ADMINISTRATOA _�jq�7�S �u /�. %j�i�. ,< PHONE r�o. .3_3 �f � '7 l J � <br />VALUE OF WOAK �s� � (do not include taxes) <br />(for commerical work) <br />USE OF BUILDING _ f-fj)/J1 ,P <br />NOTE: WAC 296-46-140 requires that plans for clectrical worY, at educational, <br />institutional or health care facilities.be approved by the State of Washington. <br />Applicants with such jobs must show the State approved plans hefore a City <br />of Everett permit will 6e issued. . <br />NOTE: Wi.ring in non dwellings is required to 6e in conduit. <br />WOAK TO HE DONE: <br />__'� .. 1�``t C7 ! � /(��'Y/ <br />C.� o�c�� I � �P �Y /�GUI�"1 J. I�/9�� <br />SIGNED: <br />3/27/90 <br />DATE: S ^ <br />