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1 <br /> , <br /> ;:� <br />,� : <br />"_ _���fi�'�F:�TM� . ,... . �: <br /> .,.. . ... .._._ .. .,,6.-,,,�.,.„, <br /> I. _r'9 � � ' - <br /> f ' � <br /> 1 . � � 1 '� <br /> 5 .♦ <br /> • I • I �'� <br />� IUJ � I: � � Ul5 � 1 � <br />� ' n} <br />�;,' u U NOV 4 1991 � <br />� ��N '� <br /> ... . . . _......................................_ <br /> f„ /1 �CITY OF EVERETT ..:i <br /> ti�. ' � �/`� � Public Works Dep`i/ �/ 9/ <br /> D11TE <br /> CI7Y 0! EVERETT <<' <br />�� .,� FEE ��� ��i <br /> ELECTRICAL 61IRING PEPMIT ]1PPLICATION <br /> � <br /> t> � <br />�, . 150 0 �0�. o � g 8�0 I � <br />�� �� � �'�� Q.�,� � <br />;`,: JOF� ADDRE95 '� <br />`� � '�a n-11.1� o n � <br /> � � . � � . ,; .�_ <br /> TEt�ANT �;,r1I11(��A1I,!_� � � <br />�'_.. PROPERTY OWNER <br /> f ' ELECTItICHL CONTRACTOR I�I ILJ � I - � <br />� CON7MCTOR'S ADDRESS ��J. �/�� ., <br /> CITY 2IP <br /> r ' n - � <br /> Lic$e�se c+o. t'W'I Yl�G �S � �$ �-�%I ERPTHIITION DATE . �`� ( '�a <br /> PIIONE N0. 5�5 -nua� _ � <br /> ��`� JIDMIN.ISTMTOR { <br />� V71LUC �!' WORK ����0 (do not include texee) '� <br />�^r ^ (for a�mm�rical r+ork) <br /> x� I <br /> A � _ i <br /> U96 Of I�UILDINC <br />�+� .; <br /> ' NOTBi wAC ]96-46-140 raquires thet plann for electrical work at educetionel, <br /> 'iy.,��>, . imlilutionel or h�alth csre facilities be epproved by tha Ststa of Wa�hington. <br /> ,.1";°` Appli`ents with auch jobs muet eliow the Stete epproved Qlana before a City } i <br />, 3 p! lS�!�rott p�rmit will be iaeued. � <br /> ''�� NOTE� Wirin9 in non dwellingb 1a required to be in conduit. � <br /> � II <br /> Y7; <br /> �9pp2; TO BE DONEi • > <br />���`�� ���'�si on Qa a �,� ' � <br /> ,;. - - <br /> ��'; _ � � <br /> NM1} j <br /> :if I I <br /> W: I <br /> +�k: <br /> :.`. . <br /> r;_ <br /> ir <br /> R? SIGNEDt ,,,�"D� ✓�{'� Af'1'I9�'L/>�1/� DATEt <br />�i:tt . <br />,+;, ' <br /> �:. <br /> . . .. . . .......r. . ...n.:T ..r. <br /> ::•"' .....v.._n.�.... ...;. � . ' <br /> rY: � ........ . . . . ... ..... ... .. <br />