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CITY OF EVERETT DATE�� <br /> ELECTRICAL WIRING PERMIT APPLICATION FEE <br /> [� FEE -.3A <br /> .IUP ADDRESS �7n 5 0 A e� T �. <br /> TENANT UQ THCHQf%r CmRISf/RAO GHVRGI- ._ <br /> PROPERTY OWNER 5 ;2 / r—&"T'C 12 BLO c <br /> ELECTRICAL CONTRACTOR F U ri VCO r-1 CGT I L T A f el <br /> CONTRACTOR'S ADDRESS S( a1a, Pe 4Re-nMDAlb c19053 <br /> CITY p F.IP <br /> LICENSE NO. ZorKnoK EXPIRATION DATE <br /> ADMINISTRATOR _ DC PIIONE NO. RIn D <br /> VALUE OF WORK `i 2 5 (do not include taxes) <br /> (for commerical work) <br /> USE of BUILDING TEMPORRftY DlGC TRR1c.E7Z- <br /> NOTE, WAC 296-46-140 requires that plane 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 plane before a City <br /> of Everett parmit will be issued. <br /> NOTE: Wiring in non dwellings Is regcired to be in conduit. <br /> WORK TO BE DON <br /> E:Li <br /> / ✓LtruCa.K�_t���(�.Y ?�r.r,7Q�f�Se 0�5.t.U�. 111//t� <br /> 92 lag4j,4,X <br /> SIGNED: DATEt --'5;/jSZ6 <br /> 3/27/90 <br />