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'�l6 C�N , <br />CITY 6F EVERETT ' """"' LATE S b <br />ELGCTRICAL WIRING PERINIT APPLICATION FEE 3-r�.� <br />, sos �wDxEss 500� 9 T,�l At.� ie)Fsr <br />TENANT <br />� PROPERTY OWNER �j ELEGT / /OGwE 5 <br />� ELECTRICAL CONTRi,CTOR / �lGc F�cTei� �/G. � <br />CONTRACTOR'S ADDRESS �O. PiX ,3�`'LC� /1//LfLLAN� GI/I�� /C7OS.�l <br />� CITY ZIP <br />LicsNss No. L 1Gc E� � io y� � <br />e1DM2N2STkATOR %Jj GG(A�t�� _ <br />VALUE OF WORK <br />(for commerical work) <br />USE 0� BUZLDING �ESIDENCE <br />EXPTRATION DATE �� 2�2R�92 <br />_ -� <br />PHONE N0. p(79 JZZ�e <br />(do not include taxes) <br />NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br />institutional or health care £acilities be approved by the State of 4Jashington. <br />Applicants with such jobs must show the State approved plans before a City <br />of Evc_ett permit will be issued. <br />NOTE: 4liring in non dwellings is required to be in conduit. <br />470RK TO SE DONE: <br />SIGNED: <br />3/27/90 <br />9Co 4u�� ��e%cE NEc� CoAlSTeuCTioN TSTAr <br />DATE : rj O <br />� <br />� ;� <br />