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� <br /> � ` ' DATE � p/9/ <br /> CITY OF EVERETT ��Q � <br /> __!_LL_-- <br /> gLECTgSCAI. WIRING PERMIT APPLICATION <br /> FEE <br /> � � /,�� N/!?' <br /> � JOB ADDRESS _ � / <br /> ��� �l/ �6?Jav✓ D'U'-✓ <br /> TENANT t�� <N <br /> PROPERTY OWNER �'✓� .��'�y . <br /> ��K�1'h'i S/N� � v _ <br /> ELECTRICAL CONTRACTOR � ' <br /> CONTRACTOR'S ADDRESS � "�'e "" � . <br /> � . CITY 2IP . <br /> LICENSE NO.K/Q/¢l�Sril-����� EXPT[iATION DATE � � L - <br /> �� ,.y� ^f PHONE N0. i � 7 �� �:'� ' ..t <br /> � ADMINISTRATOR i'�/ VV� ��S � � <br /> F ��u (do not include taxes) I � <br /> � VALUE OF WORK <br /> � (for commerical work) � ,; <br /> � USE OF BUILDING ����" �� � <br /> y <br /> 9 �. <br /> � NOTE: WAC 296-46-140 zequires that plans for electrical work at educational, <br /> instituCional or health cnre facilitiea be approved by the State of Washington. �;; <br /> Applicents with such jobe must show the State approved plana before a City '; <br /> � of Everett permit will be issued. �s <br /> � NOTE: Wirinq in non dwellinqs is required to be in conduit. h <br /> I �x <br /> � �Y� <br /> � WOgI( TO BE WNE: . '. <br /> � �f�/Ul.�Gv� �Da !9�-✓� �Co Ali �J — <br /> ; � ; <br /> �p <br /> '1 <br /> SN <br /> Y� <br /> E <br /> � <br /> a:r• <br /> p /� M <br /> � DATE e �-✓� ' 7� <br /> SIGNED: ��� �� �, <br /> €`. <br /> ;.',Yr <br /> i <br /> , 3/27/90 <br /> � <br />