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��� <br />H <br />�Hy <br />H�� <br />K n <br />H :pU <br />� H '{I <br />Vi H <br />xo <br />�3 <br />OMd <br />�/1�8 <br />y� V � <br />t"yx <br />�yH <br />C] Ct7 fn <br />Ci1�. <br />HOy <br />�7 <br />CITY OF EVERETT <br />ELECTRICAL WIRINC PERMIT �PPLICATION <br />DATE �C� ' /C� ' �I � <br />FEE _�� n c7 <br />.708 ADDRESS . � O / /] L� !-'P/�C� l,� <br />TElIANT _( %F' i' � " "- � � / <br />PHOPERTY OWNEA �� -P , /� ti' � � G' "-�. " <br />ELECTAICAL CONTMCTOR <br />CONTMCTOR'S ADDRESS <br />/ // �' 7 <br />.30/t �/'O �n? �V-I/L�17' , ����I ' <br />CITY ZIp <br />LICENSE N0. A�C(�in/f �I7� c_/C EXCLRATIOH OATE � � - .7 �- �1 '� <br />ADHINISTMTOA ��I /I 'Q ��C G/ N�/ FIIONE No. � r.� —�/� f' 7 <br />VN.UE OF WORK (du not lncludc tnxea) <br />(for commerical work) <br />USE OF BUILDING S1 / i f'• <br />NOTEs WAC 296-46-140 zequires that plans for electrical work at educational, <br />. lnntltutionrl or linalth care facllitiea bc nppzovad by Che State of Washington. <br />Applicante with aucli jobs muet sliow tt�e Stato approved plene�before a City <br />of Everett parmit will be issred. <br />NOTE� Wiring in non dwellings is required to be in conduit. <br />WORK TO BE DQNEi <br />C. (.. ,� O C1 �-� A, <br />? �.K �!Ciirs" <br />SIGNEDi i i +�h-�a� D/1TF,t ��f- �C, �- �I <br />� <br />� __" <br />