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CITY OF EVERETT o DATE S - - <br />.'h <br />ELECTRICAL WIRING PERMI2 ,APPLICATION FEE <br />tT ttl <br />SOB ADDRESS 2 30 9 7 `iT Af/L <br />a>x <br />4`NrxA-e <br />VAe7A1 o50u.:/0 Ou'/J et4 S <br />C H <br />TENANT <br />aHcn <br />H ri <br />PROPERTY OWNER <br />p yp <br />ELECTRICAL CONTRACTOR /i,/i7.0 it-1/c TL/G <br />IV H T <br />0 ~ <br />/ (/%O 2 oS0"0 n" d"r Di4.41vXdi/IG 'J,P3%0 <br />H <br />CONTRACTOR'S ADDRESS <br />CITY ZIP <br />O <br />H C7 <br />O <br />LICENSE NO. �f'�� Ltd /3L 35 EXPIRATION DATE / 5 i <br />47 C7 <br />z� <br />ADMINISTRA 20R CNA.P/�s �on_Q7L PHOtJF. N0. <br />C <br />VALUE Oi WORK /DtJ&0 (do not include taxes) <br />g`nH <br />(for commerical work) <br />C] Cq7 N <br />OF BUILDINGS iIIStJTi �iC.. <br />USE <br />z H (A <br />H O V) <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 />e <br />WORK TO BE DONE: <br />�v,cw et�417.1 CtA4el TSB A17-k7- <br />w � <br />�11 SIGNED: ��Q� �/ DATE: <br />I VI <br />3/27/90 <br />