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�'p : <br /> ,.;-,�.. <br /> � , _ - <br /> . , <br /> j <br /> � I <br /> CITY OF EVERETT � DAlE V��,� <br /> c� ELECTRICAL WZRING PERIdIT APPLICATION FEE ,3 S v u <br /> �F�� / �/�( . I <br /> y �7 cC J-/ ' <br /> ID'.Ct7'. JOB ADDRESS I�� /� U � �� �� �/� �� ��I <br /> � �� TENANT . v " .y -..0 �� ' � ' i G �ii�� �� I <br /> ' � �'� PROPEATY OWNER C��l��-� �� <br /> � N� � �� <br /> y H ELECTRICAL CONTRACTOR -� �t' � <br /> x � <br /> OQy� CONTRACTOR'S ADDRF;SS ZIP <br /> CITY <br /> � �g <br /> 'n�� LICENSE N0. EiS?IRATION DATE <br /> H <br /> xa H } �ZJ 7 . <br /> t" y�.' ADh12NISTRATOR PHONE N0. /� S � <br /> Hy I <br /> � N ! <br /> d y V11LUE OF WORK (do not include taxes) � <br /> (for conunerical work) �I <br /> i <br /> � O y USE OF BUZLDING __ ��> � � ' " � � "E�- c" �� ' <br /> � NOTE: 47AC 296-46�-��40 recuires that nlans for electrical work at educational, � <br />� institutional or health care facilities be aoproved 'ny the State of Washington. � <br /> � Applicants with such jobs must sho:� the State approved plans before a City � <br /> of Everett permit will be issued. � <br /> :•t ,� , <br /> NOTE: wiring in non dwellings is require�l to be in conduit. <br /> �� <br /> WORK TO BE DONE: � <br /> �� I 9 !/�/��C% �i , �.- �� � �.' ,�vi=r �_ y u/: �/ �l <br /> ✓ f ��?�Z /C�scr,' 7 .g � 7�, �%,'. � r. �� <br />' l �i C t�S- ��� � — <br /> �� ��___ '� �1 - % G' � C ✓d ��— <br /> 7z; ,,, � r � < � � 1 � �, s, � <.-� <br /> � - � � �� <br /> ' 1 J! ( .a��L(/.�_r <� _ 2G''Z ✓ C� / �� � <br /> � <br /> �l /� � <br />� �'� j q/� .p�-f.'%!' / �/'//�:i�Lt,��l-cc _c __ DATE: � �`��— jCJ <br /> SIGNED: i 'y, " <br /> � �: <br /> i <br /> �� <br /> 3/27/90 <br /> I <br /> { <br /> 1 <br /> �._ ... � <br />