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CITY OF EVERHTT DATE " �j � � D <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE <br /> JOB ADDRESS I D I�� ���� �S� <br /> TENANT �JC�e� �OLI Yl LF/ I VI,I L' K I VI G <br /> PROPERTY OWNER <br /> ELECTRICAL CONTRACTOR _ �,�n�,�t , �nY� � _ <br /> corrT�cTou�s aDD�ss _z3 D � 1�5� �q CO n1� ��a. 9 8 4 oL <br /> CITY ZIP <br /> ' LICENSE N0. SV� CU t����� � � EXPTRITION DATE � <br /> ADMINISIRATOR ��1 (,(, ��_ PHONE N0. LC'G^- �) ]�� � �'>�,Z. <br /> t'ALUE OF WORK ��3�nn • �U (do not include taxes) <br /> (for commerical work) <br /> osE OF BUILDING �I, ��IA!'. �,Ir°r'1MIV1}� I � �.^'�1� IV� <br /> NOTE: WAC 296-46-140 rec,uires that plans for electrical �vork at educational, <br /> institutional or health care facilities be approved by the State of taashington. <br /> Applicants with such jobs must show the State approved plans bei.ore a City <br /> of Everett permit will be issued. <br /> NOTE: 4liring in non dwellings is recuired to be in conduit. <br /> WORIC TO BE DOA'.c: <br /> �_ �15��1� /' �Ow � �D I/ �' � ��{G,1r� /�Di/ /'i����ur� �i��� ��iFsc� <br /> �l�� �i,�o r �/�aer�se r ; /�r��� ,��lr 'l: <br /> SIGNED: . � ��� �%�..�L��%/(. . DATE: �C� ._L�� I�� <br /> 3/27/90 <br />