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i <br />: r.� . � � <br /> ►. . ; <br /> � <br /> �-.: _ � <br /> �. <br /> :; <br /> �.; <br /> � D1�TE �� / J � // <br /> � CITY OF EI�ERETT <br /> � � � <br /> S <br /> � ELECTRICAL WIRING PERMIT APPLICATION FEE ' ��J <br /> JOB ADDRESS �7�1 �� '� �G1�')��G�/¢�/ <br /> �.. <br />, �; TENANT <br /> r� <br />� F PROPERTY OWNER �� �S �/'� �. <br /> i /� <br /> r- �/ <br /> '� ELECTRICAL CONTRACPQR � / �C C-C`T/' / �C S�/- �/ � � I� <br /> � coNxaacroa�s annxess ��- �or�' -� �/0=-- ,Ci�oY��-��� «t �i'�O�/� � <br /> � x <br /> CITY 2IP <br /> \T�� �ES� 090�/� `� `' � <br /> � LICENSE N0. % EXPIRATION DATE ' _�� �I � I <br />' ;�. ADMINISTRATOR ��-r�' Kn�%-c��G��L-CSE� PHONE N0. ����-�•��d <br /> i <br /> ! <br /> 1 VALUE OF WORK (do not include taxes) �, <br /> � • (for commerical work) <br /> 1 <br /> � USE OF SUILDING �k/�� ��� ��=��S C <br /> � NOTE: WAC 296-46-140 requires that plans for electrical work at educational, <br /> � <br /> � institutional or health care facilities be app�oved by the State of Washington. <br /> Applicants with such jobs mvst show the State approved plans before a City <br /> � of Everett pezmit will be issued. <br /> NOTE: Wiring in non dwellings is required to be in conduit. <br /> � WORK TO E DONE: <br /> / � <br /> ` _�,f�C ��fv��"�r�i� /;;��t lr/,J�<'i l�ic`-� J ��i�;��-� <br /> i <br /> ' �,�cy-,91L /oc� f/'�,n r/�<9i✓�L- <br /> - :�i <br /> 'o <br /> SIGNED: --�C��-i-i'/`�.�i%c— DATE: (1 ���— // � <br /> G <br /> I <br /> l <br /> I <br /> � <br />