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� <br /> CITY OF EVERETT , DATE �-S 9 l ' <br /> ELECTRICAL WIRING P5'cZMiT APPLICATION FEE <br /> Joa nnDxess �� �.327� �E�f/U£ Gf/E,��e=� C{/',f-9�zo / <br /> �eNartz� �Oh�1 � �I�YG£ U/�g7�,�/a <br /> PROPERTY OWNER ____�b��i <br /> ELECTRICAL CONTRACTOR �/Ti��G �F7G <br /> � �� CONTRACTOR'S ADDRESS � 1 �- � C�Li��en/E9—�/�z� ���i�"i 9��u 1 <br /> � � � CITY . ZIP <br /> � . ' LICENSE NO. ���T��F .L�NA' - EXPTRATION DATE %� ��Q �/ � <br /> I <br /> j "°� anruNisTanTorc �� � ��rfD�F-y PHONE N0. a��'365�' <br /> � : `,: , . � <br /> , VALOE OF WORK �p d'� (do not include taxes) <br /> j �,� (for wr�erical work) �// <br /> USE OF BUILDING /C.v3'(Dj�/G £ <br /> NOTE: WAC 296-46-140 zequirea that plans for electrical work at educational, <br /> institutional or health care facilities be appzovad by the State of Washington. <br /> Applicants with auch jobs muat ehow the State appro�ed plans before a City <br /> of Everett permit will be isaued. <br /> NOTE: Wirinq in non dwellinqs ia required to be in conduit. <br /> WORIC TO BE DONE: <br /> /�/�t/ (/�Z T�ZF � �/ZC��� ��/.�.•-/ <br /> I <br /> SIGN : � v' �/�� DATE: �'S !/� <br /> 3/27/90 <br />