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ciTsr oF sveaerr — w+Te J- �- S / <br /> ELECTRICAL WIRING PERMIT AppLICATION FEE � ��' <br /> Jo$ �o�ss _ _ z�3 a l— 1��,�-l�.��✓ <br /> TENANT <br /> PROPERTY OWNER / /� �I?ry✓,�.' 7%'r �) ,(7 , <br /> i <br /> ELECTRZCAL CONTRACTOR �/'�G�C•-%g'.�, j! � �/P L�`�-�i4/ <br /> CONTRACTOR'S ADDRESS ,��0 �� �/ y.e S�j^��� � �F?it) � <br /> CITY ZIP <br /> LICENSE NO.IL���S C;L^�`7 3 �yG(/ � <br /> EXPTRATION DATE ' � �i <br /> A�MINISTRATORD�W ����"��S• � PHONE N0. �/f`J ' ��7�' / <br /> VALUE OF WORK (do not include taxes) <br /> (for commerical work) <br /> USE OF BUILDING �� ��„���j� l�� '� <br /> NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> institutional or heaich care facilities be approved by the State of Waehington. <br /> Applicants with such jobs must show the State approved plans before a City <br /> of Everett pexmit will be issued. <br /> NOTE: Wiring in non dwellings� is required to be in conduit. <br /> WORK TO BE DONE• <br /> ' /..�� l��./�/ 1�C. `� f�l/Ltil9.✓ �/��/G�1 r!i'�j /�O� <br /> �..i _. S �` L-,� '� -v vr�-E� JF-�'�z�' /��(� �-s�v 5�u� <br /> �O G-'�s� `�. <br /> � � � <br /> SIGNED: vLli � G���,,VI�•ti-a/" DATE: �� �� <br /> � 3/27/90 <br />