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s �/s� <br /> CZTY OF EVERETT � „�,,, DATE S <br /> /}�l <br /> ELECTRICAL WIRING PFRMIT APPLICATION FEE � �`-' <br /> JOB �o�ss � 7 3 S /o f�. <br /> TENANT ��1J � /�"L I-I'-� /}�-� � <br /> PROPERTY OWNER �'1 � �f�L I1—�� �/�-1 <br /> ELECTRICAL CONTRACTOR �t/ Vv� � ��L"� � ` r� �l L <br /> CONTRACTOR'S ADDRESS P v � v X � � S b /— V i � p Zv� <br /> CITY ZIP <br /> ' LICENSE NO. W �� ��= S 3 � �I EHPSRATION DATE ' <br /> ADMINISTRATOR J v l'� W �'"�V�R'�S o-1l PHONE N0. � �Z— � 9 �� <br /> VALUE OF I90RK y, DVO , JJ (do not include taxes) <br /> (for commerical work) <br /> L'SE OF BUILDING ( Yd� 1==� I�'JJ >% , <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 show 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 BE UONE: <br /> �I .�� ��L+=+=-`� 1�4,��/)ti � F'�i�,VS S/�i--� <br /> // �,1 ) CA'l�^?� — <br /> SIGNED: "✓ � DATE: � � S U <br /> / <br /> 3/27/90 <br />