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CITY OF EVEAETT DATE �I L7 �JD <br /> ELECTAICAL WIRING PEAMIT APPLICATION FEE �ZS DV <br /> JOH ADDRE55 v_!ZD -rFr � � �EY�.'� � �� '� �- <br /> /��� � /�� . il ; ...;\ <br /> TENANT 1�5N(A ST71PL�l�Q� �D�lM1.FJ�I�4 �1� ` � ���`� � 'r I <br /> ov�t '.J <br /> PAOPERTY 0'�7NER 'SI�M/If! O <br /> . ............. <br /> T��e. ciiv or...evERFTr <br /> �LECTRICN. CONTRACfOR cS(,I.IJLOIc_ ......... <br /> A� Pa �C yy� <br /> r.otvxxncroa�s r.00�ss �1� IS" (Z4 f(-1/E IV•�i• <br /> CITY ZIP <br /> LICENSE N0. .J A/��/ �T�'IU Ir.T(g -E%PTRITION DATE �l' Z-�Z __ <br /> A�MINZSTRA:OR �y`/��U.IYL_I PHONE N0. , �3��� _• • <br /> VALUF OF wOPx (do not include taxes) <br /> (foz commerical work) <br /> USE OF BUILDING 51 q[�1 y �+4MI(`� ,DWEI-�i i I -� <br /> NOTE: WAC 29fi-46-140 zequizes that plans for electrical work at educational, <br /> institutional or health caze facilities be aopzoved by the State o: Washington. <br /> Applicants with such johs must show tY.e State approved pians before a City� <br /> of EveretT. pexmit wi11 be issued. � <br /> NOTE: Wiring in non dwellings is requized to be in conduit. <br /> WOAK TO BE OONE: <br /> c.��� ro �w5 �,�cE � w�r� �� <br /> SIGNED: ��-����� �i�� G/ _ UATE: I L Z7 �� <br /> � 3`C� <br /> 3/:7/90 <br /> I <br />